| Kidzaam Dentistry | |
|
1300 W Gurley St Ste 1 Suite One Prescott AZ 86305-2852 | |
| (928) 445-8033 | |
| (928) 443-1373 |
| Full Name | Kidzaam Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1300 W Gurley St Ste 1, Prescott, Arizona |
| Authorized Official Name and Position | Albert Mitchel Higgins (PRESIDENT) |
| Authorized Official Contact | 9284458033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzaam Dentistry 1300 W Gurley St Suite One Prescott AZ 86305-2852 Ph: (928) 445-8033 | Kidzaam Dentistry 1300 W Gurley St Ste 1 Suite One Prescott AZ 86305-2852 Ph: (928) 445-8033 |
| NPI Number | 1942387204 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942387204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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