Old Town General Dentistry & Denture Lab
NPI #1942672118 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1942672118
- Entity Type
- Organization
- Organization Name
- Old Town General Dentistry & Denture Lab
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 27, 2015
- Last Updated
- Oct 27, 2015
Practice Location
- Address
- 542 N MAIN ST
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-3896
- Phone
- (928) 634-8567
Authorized Official
- Name
- DR. JEFFREY C BLAIR, DMD
- Title
- DENTIST/MEMBER
- Phone
- (928) 634-8567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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