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Organization
PRESCOTT VALLEY PDC PLLC
Active
Organization
PRESCOTT VALLEY PDC PLLC
Active
Other names
Horizon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
7890 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-1204
(928) 772-9860
Mailing address
355 S 520 W STE 250, LINDON, UT 84042-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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