# ACES DENTAL OF FLAGSTAFF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609236264
- **Authorized official:** DR. VILAS SASTRY DMD (OWNER)
- **Authorized official phone:** (928) 440-5137

## Contact information

- **Practice address:** 1515 E CEDAR AVE, UNIT C1, FLAGSTAFF, AZ 86004-1600
- **Practice address phone:** (928) 440-5137
- **Practice address fax:** (702) 243-2893
- **Mailing address:** 6127 S RAINBOW BLVD, SUITE 100, LAS VEGAS, NV 89118-3255
- **Mailing address phone:** (702) 998-2237
- **Mailing address fax:** (702) 243-2893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D009389 | AZ | Yes |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 09/16/2016