Debonair Ink

NPI #1194031336 in Flagstaff, Arizona

Provider Information

NPI Number
1194031336
Entity Type
Organization
Organization Name
Debonair Ink
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 25, 2010
Last Updated
Sep 8, 2010

Practice Location

Address
1415 N BEAVER ST
State
Arizona
ZIP Code
86001-1401
Phone
(928) 774-1170

Authorized Official

Name
DEBORA KAY MOSHOS, RDH
Title
PRESIDENT
Phone
(928) 774-1170

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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