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Organization

ACES DENTAL OF FLAGSTAFF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VILAS SASTRY DMD (OWNER)
(928) 440-5137
Entity
Organization

Contact information

Practice address
1515 E CEDAR AVE, UNIT C1, FLAGSTAFF, AZ 86004-1600
(928) 440-5137
(702) 243-2893
Mailing address
6127 S RAINBOW BLVD, SUITE 100, LAS VEGAS, NV 89118-3255
(702) 998-2237
(702) 243-2893

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D009389
AZ

Other

Enumeration date
02/24/2016
Last updated
09/16/2016
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