Individual
DR. SHOKOFEH MOTLAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2200 E CEDAR AVE STE 5, FLAGSTAFF, AZ 86004-1958
(928) 637-6673
Mailing address
2200 E CEDAR AVE STE 5, FLAGSTAFF, AZ 86004-1958
(928) 637-6673
(928) 637-6665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5711
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8832
AZ
Other
Enumeration date
12/18/2008
Last updated
01/05/2024
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