| Kids Dental Place | |
|
3130 E Baseline Rd #103-104 Mesa AZ 85204-7290 | |
| (480) 813-3423 | |
| (480) 718-7387 |
| Full Name | Kids Dental Place |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3130 E Baseline Rd, Mesa, Arizona |
| Authorized Official Name and Position | George Raymond Ayoub (DENTIST) |
| Authorized Official Contact | 6029562024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Place 3130 E Baseline Rd #103-104 Mesa AZ 85204-7290 Ph: (480) 813-3423 | Kids Dental Place 3130 E Baseline Rd #103-104 Mesa AZ 85204-7290 Ph: (480) 813-3423 |
| NPI Number | 1528392891 |
|---|---|
| Provider Enumeration Date | 09/19/2009 |
| Last Update Date | 09/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528392891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6399 (Arizona) | Primary |
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