| NPI | 1386033629 |
|---|---|
| Doing Business As | FLAGSTAFF MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner 928-226-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |