Organization
FRONTIER DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN L DIQUATTRO DMD (OWNER)
(928) 474-5231
Entity
Organization
Contact information
Practice address
704 S MEADOW ST, PAYSON, AZ 85541-5341
(928) 474-5231
(928) 474-7448
Mailing address
704 S MEADOW ST, PAYSON, AZ 85541-5341
(928) 474-5231
(928) 474-7448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7558
AZ
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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