Woodlands Village Dentistry Pc

NPI 1518026426 - Dentist - 122300000X

NPI Details
NPI 1518026426
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT W ROBERT
Position PRESIDENT DENTIST
Phone (928) 774-5599
Fax (928) 773-0257
Practice Location
1120 W UNIVERSITY AVE
SUITE 103
FLAGSTAFF AZ, 86001, US
Phone (928) 774-5599
Fax (928) 773-0257
Business Location
1120 W UNIVERSITY AVE
SUITE 103
FLAGSTAFF AZ, 86001, US
Phone (928) 774-5599
Fax (928) 773-0257
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 3157
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According to our database, Woodlands Village Dentistry Pc NPI is 1518026426, taxonomy code is 122300000X and license number is 3157, license state is located at Arizona. Woodlands Village Dentistry Pc physically located at 1120 W University Ave, Flagstaff AZ, 86001. NPI Number 1033115704 has the healthcare provider type.

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1518026426 NPI number is provided on an as is basis without warranty of any kind. 1518026426 is maintained by the National Plan & Provider Enumeration System. The contents of Woodlands Village Dentistry Pc are for informational purposes only.