| Fiesta Kidtastics | |
|
1303 S Longmore Ste 1 Mesa AZ 85202-9607 | |
| (480) 648-4037 | |
| (480) 696-5505 |
| Full Name | Fiesta Kidtastics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1303 S Longmore Ste 1, Mesa, Arizona |
| Authorized Official Name and Position | Jaime Johnson (CONTROLLER) |
| Authorized Official Contact | 4806484037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiesta Kidtastics 4704 E Southern Ave Mesa AZ 85206-2737 Ph: (480) 648-4037 | Fiesta Kidtastics 1303 S Longmore Ste 1 Mesa AZ 85202-9607 Ph: (480) 648-4037 |
| NPI Number | 1215281688 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215281688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Hi Tech Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 S Dobson Rd, Ste # 144, Mesa, AZ 85202 Phone: 480-969-1550 Fax: 480-969-5550 | |
North Stapely Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 N Stapley Dr, Mesa, AZ 85203 Phone: 480-964-2662 Fax: 480-649-9813 | |
Western Dental Of Arizona, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 E Main St, Mesa, AZ 85203 Phone: 480-834-1555 Fax: 480-962-6710 | |
Green 32 Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Greenfield Rd Ste 2, Mesa, AZ 85205 Phone: 480-832-5190 Fax: 480-654-9900 | |
Southern Vista Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 E Southern Ave, Suite 103, Mesa, AZ 85204 Phone: 480-892-9000 Fax: 480-926-0545 | |
Orthodontic Centers Of Az Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1959 S Val Vista Dr, #118, Mesa, AZ 85204 Phone: 480-539-1000 Fax: 480-539-9900 | |
Imagine Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 S Val Vista Dr, Suite 101, Mesa, AZ 85204 Phone: 480-668-8200 |