| Children's Dental Clinic | |
|
9201 N 5th St Phoenix AZ 85020-2532 | |
| (602) 870-6060 | |
| (602) 331-5819 |
| Full Name | Children's Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9201 N 5th St, Phoenix, Arizona |
| Authorized Official Name and Position | Cindy Hallman (VICE PRESIDENT) |
| Authorized Official Contact | 6028706060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Clinic 9201 N 5th St Phoenix AZ 85020-2532 Ph: (602) 870-6060 | Children's Dental Clinic 9201 N 5th St Phoenix AZ 85020-2532 Ph: (602) 870-6060 |
| NPI Number | 1114189487 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114189487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | F0049 (Arizona) | Primary |
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