Organization · Type 2 NPI

Rustic Mountain Dentistry

Dental Clinic/Center · Taylor, AZ

NPI number 1063983245 Active

Practice location

606 N Main Street
Taylor, AZ 85939-8593

Call (928) 457-0758 Map

Fax (928) 457-0821

Mailing address

PO Box 1550
Taylor, AZ 85939-1550

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Kenneth Houston Davis, DMDDentist Taylor, AZ NPI 1730343013

About NPI 1063983245

Rustic Mountain Dentistry's National Provider Identifier is 1063983245, issued on Dec 16, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Taylor, AZ. The record was last updated on Dec 16, 2018.