Organization
STILLWATER DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME C CUTLER DDS (OWNER)
(928) 775-7433
Entity
Organization
Contact information
Practice address
3773 CROSSINGS DR, SUITEC, PRESCOTT, AZ 86305-7121
(928) 717-8400
Mailing address
3773 CROSSINGS DR, SUITEC, PRESCOTT, AZ 86305-7121
(928) 717-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5708
AZ
122300000X
Dentist
6207
AZ
122300000X
Dentist
6407
AZ
122300000X
Dentist
Primary
6772
AZ
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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