Organization · Type 2 NPI

Bonanza Square Dentistry LLC

General Practice Dentistry · Payson, AZ

NPI number 1104019918 Active

Practice location

200 W Frontier St, Suite 5
Payson, AZ 85541

Call (928) 472-2500 Map

Fax (928) 472-6699

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD5797 (AZ)

General Practice Dentistry: 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.

3 other providers at this address

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About NPI 1104019918

Bonanza Square Dentistry LLC's National Provider Identifier is 1104019918, issued on Aug 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Payson, AZ. The record was last updated on Aug 24, 2007.