| Flagstaff Dentistry 4 Kids, Pllc | |
|
710 N Beaver St Bldg 2 Flagstaff AZ 86001-3100 | |
| (928) 773-8571 | |
| (928) 255-4814 |
| Full Name | Flagstaff Dentistry 4 Kids, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 710 N Beaver St, Flagstaff, Arizona |
| Authorized Official Name and Position | Bradley Roberts (DENTIST/OWENER) |
| Authorized Official Contact | 4806079999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Dentistry 4 Kids, Pllc 710 N Beaver St Bldg 2 Flagstaff AZ 86001-3100 Ph: (928) 773-8571 | Flagstaff Dentistry 4 Kids, Pllc 710 N Beaver St Bldg 2 Flagstaff AZ 86001-3100 Ph: (928) 773-8571 |
| NPI Number | 1427411255 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427411255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D04964 (Arizona) | Primary |
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