| Weedman Dental Pllc | |
|
710 N Beaver St Bldg 5 Flagstaff AZ 86001-3146 | |
| (928) 774-4726 | |
| (833) 895-1327 |
| Full Name | Weedman Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 710 N Beaver St Bldg 5, Flagstaff, Arizona |
| Authorized Official Name and Position | Mikaela Lynn Weedman (OWNER DENTIST) |
| Authorized Official Contact | 6026800322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weedman Dental Pllc 9959 Blackhorse Rd Flagstaff AZ 86004-9781 Ph: (602) 680-0322 | Weedman Dental Pllc 710 N Beaver St Bldg 5 Flagstaff AZ 86001-3146 Ph: (928) 774-4726 |
| NPI Number | 1275345035 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 01/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275345035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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