| Kids Grins-queen Creek | |
|
20261 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-8806 | |
| (480) 284-6630 | |
| (480) 590-4436 |
| Full Name | Kids Grins-queen Creek |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20261 E Ocotillo Rd Ste 130, Queen Creek, Arizona |
| Authorized Official Name and Position | Tessa Baughn (OFFICE MANAGER) |
| Authorized Official Contact | 4802846630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Grins-queen Creek 20261 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-8806 Ph: () - | Kids Grins-queen Creek 20261 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-8806 Ph: (480) 284-6630 |
| NPI Number | 1184347833 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184347833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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