| Kidz Connextion Dental Centers | |
|
524 E. Baseline Road Phoenix AZ 85042-2300 | |
| (602) 276-4004 | |
| (602) 276-6117 |
| Full Name | Kidz Connextion Dental Centers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 524 E. Baseline Road, Phoenix, Arizona |
| Authorized Official Name and Position | John Graneto (PRESIDENT/OWNER) |
| Authorized Official Contact | 6232231001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Connextion Dental Centers 4727 E Bell Rd Suite # 45101 Phoenix AZ 85032-2308 Ph: (623) 223-1001 | Kidz Connextion Dental Centers 524 E. Baseline Road Phoenix AZ 85042-2300 Ph: (602) 276-4004 |
| NPI Number | 1578808739 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 02/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578808739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5376 (Arizona) | Primary |
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