NPI 1043471493

Tricity Dental

Organisation Dental Clinic/Center Prescott, AZ

Practice location

Address: 1000 Willow Creek Rd Suite H, Prescott, AZ 86301-1645
Phone: (928) 445-3181
Fax: (928) 445-5797

Authorised official

Name: Paul Juan Wulff
Title: Owner
Phone: (928) 445-3181

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence D3674 (AZ)

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1043471493
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.