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Organization
CEDAR AVE FAMILY DENTISTRY LLC
Active
Organization
CEDAR AVE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHITTENDEN DMD (OWNER)
(425) 870-3325
Entity
Organization
Contact information
Practice address
2010 E CEDAR AVE, FLAGSTAFF, AZ 86004-1621
(928) 774-3851
Mailing address
2010 E CEDAR AVE, FLAGSTAFF, AZ 86004-1621
(425) 870-3325
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/26/2024
Last updated
10/08/2024
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