| NPI | 1326771270 |
|---|---|
| Doing Business As | COUNTRY CLUB DENTAL FLAGSTAFF |
| Entity Type | Organization |
| Authorized Contact | SARAH G WHITNEY Business Manager 928-853-1601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |