Flagstaff Modern Dentistry

NPI #1386033629 in Flagstaff, Arizona

Provider Information

NPI Number: 1386033629
Entity Type: Organization
Organization Name: Flagstaff Modern Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2015
Last Updated: Jan 9, 2015

Practice Location

Address: 304 S REGENT ST, SUITE 101
City: Flagstaff
State: Arizona
ZIP Code: 86001
Phone: (928) 226-7494

Authorized Official

Name: DR. ALEX R SHARIFIAN, DDS
Title: OWNER
Phone: (928) 226-7494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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