| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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