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Rustic Mountain Dentistry
Dental Clinic/Center in Taylor, Arizona
NPI 1063983245

Rustic Mountain Dentistry is a Dental Clinic/Center based in Taylor, AZ and is specialized in Dental. Rustic Mountain Dentistry practices in Taylor, AZ. The NPI Number for Rustic Mountain Dentistry is 1063983245 and holds a License No. (Arizona).

The current practice location address for Rustic Mountain Dentistry is 606 N Main Street, Taylor, AZ and can be reached out via phone at 928-457-0758 and via fax at 928-457-0821.

Location: 606 N Main Street, Taylor, AZ, 85939-1550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063983245
Provider Name
Rustic Mountain Dentistry
Credential
Provider Entity Type
Organization
Address
606 N Main Street, Taylor, AZ, 85939-1550
Phone Number
928-457-0758
Fax Number
928-457-0821
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 N Main Street
City
Taylor
State
Arizona
Zip
85939-8593
Phone Number
928-457-0758
Fax Number
928-457-0821
person
Provider Business Mailing Address Details
Address
606 N Main Street
City
Taylor
State
Arizona
Zip
85939-8593
Phone Number
928-457-0758
Fax Number
928-457-0821
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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