Organization
FLAGSTAFF DENTISTRY 4 KIDS, PLLC
Active
Other names
Flagstaff Dentistry 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
710 N BEAVER ST BLDG 2, FLAGSTAFF, AZ 86001-3145
(928) 773-8571
(928) 255-4814
Mailing address
710 N BEAVER ST BLDG 2, FLAGSTAFF, AZ 86001-3145
(928) 773-8571
(928) 255-4814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D04964
AZ
Other
Enumeration date
03/30/2016
Last updated
08/20/2025
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