Organization
WHITE MOUNTAIN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN L TENNEY (OWNER)
(928) 536-5353
Entity
Organization
Contact information
Practice address
986 S MAIN ST, SNOWFLAKE, AZ 85937-5500
(928) 536-5353
(928) 536-5753
Mailing address
986 S MAIN ST, SNOWFLAKE, AZ 85937-5500
(928) 536-5353
(928) 536-5753
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AZ7350
AZ
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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