Organization
PRESCOTT DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO G MONTES D.D.S. (DENTIST)
(928) 445-1660
Entity
Organization
Contact information
Practice address
350 WHIPPLE ST, PRESCOTT, AZ 86301-1714
(928) 445-1660
(928) 771-8169
Mailing address
350 WHIPPLE ST, PRESCOTT, AZ 86301-1714
(928) 445-1660
(928) 771-8169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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