| NPI | 1427411255 |
|---|---|
| Doing Business As | FLAGSTAFF DENTISTRY 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | TERESA ZWICKY Credentialing Manager 480-866-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D04964) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-08-20 |