Individual
DR. RICHARD C. JIRSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1229 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 778-2340
(928) 778-3646
Mailing address
1229 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 778-2340
(928) 778-3646
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3843
AZ
Other
Enumeration date
03/28/2006
Last updated
02/25/2009
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