| The Dental Squad, Llc | |
|
172 E Merritt St Ste F Prescott AZ 86301-2027 | |
| (928) 443-1200 | |
| (928) 445-0037 |
| Full Name | The Dental Squad, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 172 E Merritt St Ste F, Prescott, Arizona |
| Authorized Official Name and Position | Aaron Cyrus Haag (OWNER/DENTIST) |
| Authorized Official Contact | 9284431200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Squad, Llc 172 E Merritt St Ste F Prescott AZ 86301-2027 Ph: (928) 443-1200 | The Dental Squad, Llc 172 E Merritt St Ste F Prescott AZ 86301-2027 Ph: (928) 443-1200 |
| NPI Number | 1548803091 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548803091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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