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Organization
PRESCOTT MODERN DENTISTRY, LLP
Active
Organization
PRESCOTT MODERN DENTISTRY, LLP
Active
Other names
Prescott Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL C FAIRCHILD DDS (OWNER DOCTOR)
(928) 777-8550
Entity
Organization
Contact information
Practice address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Mailing address
1200 GAIL GARDNER WAY, PRESCOTT, AZ 86305-3499
(928) 777-8550
(928) 443-0142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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