| Desert Kids Dentistry | |
|
34406 N 27th Dr Ste 106 Phoenix AZ 85085-7730 | |
| (760) 218-1638 | |
| Not Available |
| Full Name | Desert Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 34406 N 27th Dr Ste 106, Phoenix, Arizona |
| Authorized Official Name and Position | Steven James Petruzzi (PRESIDENT) |
| Authorized Official Contact | 7602181638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Kids Dentistry 26922 N 88th Ln Peoria AZ 85383-3732 Ph: (760) 218-1638 | Desert Kids Dentistry 34406 N 27th Dr Ste 106 Phoenix AZ 85085-7730 Ph: (760) 218-1638 |
| NPI Number | 1730639840 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730639840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D008162 (Arizona) | Primary |
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