Organization
CRANMER LLC
Active
Other names
PV Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD HENDERSON DDS (OWNER/DENTIST)
(928) 772-9175
Entity
Organization
Contact information
Practice address
8154 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8487
(928) 772-8175
(928) 772-8351
Mailing address
8154 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8487
(928) 772-8175
(928) 772-8351
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9195
AZ
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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