Organization
PAUL D WHITNEY DDS PC
Active
Parent organization
PAUL D WHITNEY DDS PC
Other names
Country Club Dental Flagstaff
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL D WHITNEY DDS PC
Authorized official
MRS. SARAH G WHITNEY (BUSINESS MANAGER)
(928) 853-1601
Entity
Organization
Contact information
Practice address
5200 E CORTLAND BLVD STE C4, FLAGSTAFF, AZ 86004-9341
(928) 526-4314
(928) 714-1475
Mailing address
5200 E CORTLAND BLVD STE C4, FLAGSTAFF, AZ 86004-9341
(928) 526-4314
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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