Organization
PREVENTATIVE DENTAL CARE PLLC
Active
Other names
Canyon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W HIRSBRUNNER DMD (OWNER)
(623) 444-2322
Entity
Organization
Contact information
Practice address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(162) 344-4232
Mailing address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(162) 344-4232
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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