| Cedar Ave Family Dentistry Llc | |
|
2010 E Cedar Ave Flagstaff AZ 86004-1621 | |
| (928) 774-3851 | |
| Not Available |
| Full Name | Cedar Ave Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2010 E Cedar Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Kevin Chittenden (OWNER) |
| Authorized Official Contact | 4258703325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ave Family Dentistry Llc 2010 E Cedar Ave Flagstaff AZ 86004-1621 Ph: (425) 870-3325 | Cedar Ave Family Dentistry Llc 2010 E Cedar Ave Flagstaff AZ 86004-1621 Ph: (928) 774-3851 |
| NPI Number | 1508684887 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508684887 | NPI | - | NPPES |
| 1528551603 | Other | AZ | ARIZONA |
| 1538783360 | Other | AZ | ARIZONA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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