Flagstaff Pediatric Dentistry, P.c.

NPI 1710011374 - Dentist - 1223P0221X

NPI Details
NPI 1710011374
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN B. ALAN
Position PRESIDENT
Phone (928) 774-1219
Fax
Practice Location
906 W UNIVERSITY AVE
SUITE 110
FLAGSTAFF AZ, 86001-2986, US
Phone (928) 774-1219
Fax
Business Location
906 W UNIVERSITY AVE
SUITE 110
FLAGSTAFF AZ, 86001-2986, US
Phone (928) 774-1219
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Arizona
License Number 3830
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According to our database, Flagstaff Pediatric Dentistry, P.c. NPI is 1710011374, taxonomy code is 1223P0221X and license number is 3830, license state is located at Arizona. Flagstaff Pediatric Dentistry, P.c. physically located at 906 W University Ave, Flagstaff AZ, 86001-2986. NPI Number 1033115704 has the healthcare provider type.

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1710011374 NPI number is provided on an as is basis without warranty of any kind. 1710011374 is maintained by the National Plan & Provider Enumeration System. The contents of Flagstaff Pediatric Dentistry, P.c. are for informational purposes only.