| Flagstaff Modern Dentistry | |
|
304 S Regent St, Suite 101 Flagstaff AZ 86001 | |
| (928) 226-7494 | |
| (928) 226-7151 |
| Full Name | Flagstaff Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 304 S Regent St, Suite 101, Flagstaff, Arizona |
| Authorized Official Name and Position | Alex R Sharifian (OWNER) |
| Authorized Official Contact | 9282267494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Flagstaff Modern Dentistry 304 S Regent St, Suite 101 Flagstaff AZ 86001 Ph: (928) 226-7494 |
| NPI Number | 1386033629 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386033629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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