Organization
FLAGSTAFF FAMILY DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE KAY MCLEOD (CEO)
(520) 290-6181
Entity
Organization
Contact information
Practice address
2615 N 4TH ST, SUITE 6, FLAGSTAFF, AZ 86004
(928) 774-4761
(928) 773-9589
Mailing address
11550 E IRVINGTON RD, TUCSON, AZ 85747
(520) 290-6101
(520) 290-6182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
07/19/2007
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