Kid-1 Pediatric Dentistry | |
907 E Cottonwood Ln Ste 1 Casa Grande AZ 85222-2226 | |
(520) 876-5431 | |
(520) 876-4875 |
Full Name | Kid-1 Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 907 E Cottonwood Ln Ste 1, Casa Grande, Arizona |
Authorized Official Name and Position | James Allen Jennings (PRESIDENT) |
Authorized Official Contact | 5208765431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kid-1 Pediatric Dentistry 907 E Cottonwood Ln Ste 1 Casa Grande AZ 85222-2226 Ph: (520) 876-5431 | Kid-1 Pediatric Dentistry 907 E Cottonwood Ln Ste 1 Casa Grande AZ 85222-2226 Ph: (520) 876-5431 |
NPI Number | 1568689776 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568689776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | D4544 (Arizona) | Primary |
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