| Bluebird Pediatric Dentistry Pllc | |
|
1520 W Warner Rd Ste 110 Gilbert AZ 85233-7043 | |
| (615) 410-8669 | |
| Not Available |
| Full Name | Bluebird Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1520 W Warner Rd Ste 110, Gilbert, Arizona |
| Authorized Official Name and Position | Arlene Kewallal (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6154108669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Pediatric Dentistry Pllc 1616 N Central Ave Apt 3189 Phoenix AZ 85004-1672 Ph: () - | Bluebird Pediatric Dentistry Pllc 1520 W Warner Rd Ste 110 Gilbert AZ 85233-7043 Ph: (615) 410-8669 |
| NPI Number | 1760125504 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760125504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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