| Kidz R Kool | |
|
7505 W Deer Valley Rd Suite 110 Peoria AZ 85382-2107 | |
| (623) 572-5777 | |
| (623) 572-7288 |
| Full Name | Kidz R Kool |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7505 W Deer Valley Rd, Peoria, Arizona |
| Authorized Official Name and Position | Celeste Brenke (OFFICE MANAGER/OWNER) |
| Authorized Official Contact | 6235725777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz R Kool 7505 W Deer Valley Rd Suite 110 Peoria AZ 85382-2107 Ph: (623) 572-5777 | Kidz R Kool 7505 W Deer Valley Rd Suite 110 Peoria AZ 85382-2107 Ph: (623) 572-5777 |
| NPI Number | 1336535152 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336535152 | NPI | - | NPPES |
| 390493-004 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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