| Bradshaw Family Dental | |
|
1260 S State Route 89 Ste G Chino Valley AZ 86323-6624 | |
| (928) 237-1305 | |
| (928) 237-3038 |
| Full Name | Bradshaw Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 S State Route 89 Ste G, Chino Valley, Arizona |
| Authorized Official Name and Position | David Frausto (OWNER) |
| Authorized Official Contact | 9282371305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradshaw Family Dental 1260 S State Route 89 Ste G Chino Valley AZ 86323-6624 Ph: (928) 237-1305 | Bradshaw Family Dental 1260 S State Route 89 Ste G Chino Valley AZ 86323-6624 Ph: (928) 237-1305 |
| NPI Number | 1972085660 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972085660 | NPI | - | NPPES |
| 722183 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D5639 (Arizona) | Primary |
Horizon Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Butterfield Rd, Chino Valley, AZ 86323 Phone: 928-636-1565 Fax: 928-636-1164 | |
Maritza Sanchez-salazar Dds, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1578 N Hwy 89 Ste 1, Chino Valley, AZ 86323 Phone: 928-300-8100 | |
Randall Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1598 Susan A Williams Way Ste E, Chino Valley, AZ 86323 Phone: 928-636-6872 | |
James C Suit Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1578 N Hwy 89, Ste 1, Chino Valley, AZ 86323 Phone: 928-636-6227 Fax: 928-636-6228 | |
Cl Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 S Hwy 89 Ste G, Chino Valley, AZ 86323 Phone: 928-237-1305 | |
Mountain West Surgery & Sedation Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 Butterfield Rd, Chino Valley, AZ 86323 Phone: 928-636-1565 |