Organization
DYNAMIC DENTISTRY AZ, PLLC
Active
Other names
Dynamic Dentistry AZ
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA FARR (PRESIDENT)
(928) 537-6453
Entity
Organization
Contact information
Practice address
2450 S WHITE MOUNTAIN RD STE 1, SHOW LOW, AZ 85901-7384
(928) 537-6453
Mailing address
2450 S WHITE MOUNTAIN RD STE 1, SHOW LOW, AZ 85901-7384
(480) 313-3187
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
12/09/2020
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