BONANZA SQUARE DENTISTRY LLC is a general practice dentist in Payson, AZ. The provider is 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. BONANZA SQUARE DENTISTRY LLC NPI is 1104019918. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
200 W FRONTIER ST
SUITE 5
PAYSON, AZ
ZIP 85541
Phone: (928) 472-2500
Fax: (928) 472-6699
The provider's authorized official is Eldon Dwayne Jenkins .
The authorized official title is Owner and has the following contact phone number (480) 205-2476.
The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.