Individual
DR. JOSEPH R ABT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8065 N VISTA LN, PRESCOTT, AZ 86305-8833
(520) 490-5141
Mailing address
8065 N VISTA LN, PRESCOTT, AZ 86305-8833
(520) 490-5141
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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