Organization
PINEVIEW PRESCOTT DENTAL
Active
Parent organization
PINEVIEW PRESCOTT DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINEVIEW PRESCOTT DENTAL
Authorized official
DR. KENNETH GLASS DDS. (OWNER/DOCTOR)
(928) 445-9233
Entity
Organization
Contact information
Practice address
680 GAIL GARDNER WAY, PRESCOTT, AZ 86305-0001
(928) 445-9233
(928) 445-1758
Mailing address
680 GAIL GARDNER WAY, PRESCOTT, AZ 86305-0001
(928) 445-9233
(928) 445-1758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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