Verde Dental Care, LLC

NPI #1992037857 in Camp Verde, Arizona

Provider Information

NPI Number: 1992037857
Entity Type: Organization
Organization Name: Verde Dental Care, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 3, 2010
Last Updated: Feb 3, 2010

Practice Location

Address: 522 W FINNIE FLATS RD
Address 2: STE J
City: Camp Verde
State: Arizona
ZIP Code: 86322-7265
Phone: (928) 567-5249

Authorized Official

Name: DR. ERIC A PETTERSEN, D.M.D.
Title: MEMBER
Phone: (928) 567-5249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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