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Bonanza Square Dentistry Llc
General Practice Dentistry in Payson, Arizona
NPI 1104019918

Bonanza Square Dentistry Llc is a General Practice Dentistry based in Payson, AZ and is specialized in General Practice. Bonanza Square Dentistry Llc practices in Payson, AZ. The NPI Number for Bonanza Square Dentistry Llc is 1104019918 and holds a License No. D5797 (Arizona).

The current practice location address for Bonanza Square Dentistry Llc is 200 W Frontier St, Payson, AZ and can be reached out via phone at 928-472-2500 and via fax at 928-472-6699.

Location: 200 W Frontier St, Payson, AZ, 85541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104019918
Provider Name
Bonanza Square Dentistry Llc
Credential
Provider Entity Type
Organization
Address
200 W Frontier St, Payson, AZ, 85541
Phone Number
928-472-2500
Fax Number
928-472-6699
Provider Enumeration Date
08/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 W Frontier St
City
Payson
State
Arizona
Zip
85541
Phone Number
928-472-2500
Fax Number
928-472-6699
person
Provider Business Mailing Address Details
Address
200 W Frontier St
City
Payson
State
Arizona
Zip
85541
Phone Number
928-472-2500
Fax Number
928-472-6699
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D5797 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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