| Flagstaff Dentistry 4 Kids, Pllc | |
|
1306 W Gurley St Prescott AZ 86305-2826 | |
| (928) 463-2292 | |
| (928) 460-7526 |
| Full Name | Flagstaff Dentistry 4 Kids, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1306 W Gurley St, Prescott, Arizona |
| Authorized Official Name and Position | Teresa Zwicky (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4808668811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Dentistry 4 Kids, Pllc 1306 W Gurley St Prescott AZ 86305-2826 Ph: (928) 463-2292 | Flagstaff Dentistry 4 Kids, Pllc 1306 W Gurley St Prescott AZ 86305-2826 Ph: (928) 463-2292 |
| NPI Number | 1619746765 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619746765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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