| Family And Kids Dental Llc | |
|
2610 W Baseline Rd Ste 120 Phoenix AZ 85041-6400 | |
| (480) 612-5632 | |
| Not Available |
| Full Name | Family And Kids Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2610 W Baseline Rd Ste 120, Phoenix, Arizona |
| Authorized Official Name and Position | Daniel Levi Haught (OWNER) |
| Authorized Official Contact | 9289702723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Kids Dental Llc 2610 W Baseline Rd Ste 120 Phoenix AZ 85041-6400 Ph: () - | Family And Kids Dental Llc 2610 W Baseline Rd Ste 120 Phoenix AZ 85041-6400 Ph: (480) 612-5632 |
| NPI Number | 1942821301 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942821301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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