Organization
CP DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BRUNSON (OFFICE MANAGER)
(928) 472-2500
Entity
Organization
Contact information
Practice address
906 S BEELINE HWY, PAYSON, AZ 85541-5411
(928) 472-2500
Mailing address
906 S BEELINE HWY, PAYSON, AZ 85541-5411
(928) 472-2500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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