Organization
AMAZING DENTISTRY VIRGINIA M. FLAHART, GEN PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA MARIE FLAHART (OWNER)
(480) 345-6950
Entity
Organization
Contact information
Practice address
2058 S DOBSON RD STE 8, MESA, AZ 85202-6455
(480) 345-6950
(480) 345-6953
Mailing address
2058 S DOBSON RD STE 8, MESA, AZ 85202-6455
(480) 345-6950
(480) 345-6953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619131109
DENTIST
AZ
Enumeration date
05/21/2009
Last updated
05/21/2009
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