Organization
FLETCHER HEIGHTS DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A PROST D.D.S. (DENTIST)
(623) 825-7833
Entity
Organization
Contact information
Practice address
8272 W. LAKE PLEASANT PKWY., #204, PEORIA, AZ 85382-7432
(623) 825-7833
(623) 362-9141
Mailing address
8272 W. LAKE PLEASANT PKWY., #204, PEORIA, AZ 85382-7432
(623) 825-7833
(623) 362-9141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010098A
IN
1223G0001X
General Practice Dentistry
Primary
4974
AZ
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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