| Frontier Village Dental Care | |
|
1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 | |
| (928) 541-1000 | |
| (928) 778-2131 |
| Full Name | Frontier Village Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1781 E State Route 69, Prescott, Arizona |
| Authorized Official Name and Position | Jane Kathleen Lambertus (OWNER) |
| Authorized Official Contact | 9285411000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Village Dental Care 1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 Ph: (928) 541-1000 | Frontier Village Dental Care 1781 E State Route 69 Ste 9 Prescott AZ 86301-5666 Ph: (928) 541-1000 |
| NPI Number | 1134283187 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134283187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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