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Organization

FLAGSTAFF MODERN DENTISTRY

Active
Other names
Flagstaff Modern Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER)
(928) 226-7494
Entity
Organization

Contact information

Practice address
304 S REGENT ST, SUITE 101, FLAGSTAFF, AZ 86001
(928) 226-7494
(928) 226-7151
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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