| Arizona's Tooth Doctor For Kids | |
|
3301 E Thomas Rd Phoenix AZ 85018-7302 | |
| (602) 956-4411 | |
| (602) 956-8877 |
| Full Name | Arizona's Tooth Doctor For Kids |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3301 E Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Michael Hull (LEAD DOCTOR) |
| Authorized Official Contact | 6232458461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona's Tooth Doctor For Kids 2330 N Alma School Rd Ste 100 Chandler AZ 85224-2490 Ph: (480) 388-3222 | Arizona's Tooth Doctor For Kids 3301 E Thomas Rd Phoenix AZ 85018-7302 Ph: (602) 956-4411 |
| NPI Number | 1972823888 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972823888 | NPI | - | NPPES |
| 240871 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | F316 (Arizona) | Primary |
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