Laveen Kid's Dentist And Orthodontics | |
5235 W. Baseline Rd, Ste 187 Laveen AZ 85339 | |
(602) 883-8649 | |
(602) 744-8778 |
Full Name | Laveen Kid's Dentist And Orthodontics |
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Speciality | Dentist |
Location | 5235 W. Baseline Rd, Ste 187, Laveen, Arizona |
Authorized Official Name and Position | Eric E Ellis (OWNER DOCTOR) |
Authorized Official Contact | 6028838649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laveen Kid's Dentist And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8656 | Laveen Kid's Dentist And Orthodontics 5235 W. Baseline Rd, Ste 187 Laveen AZ 85339 Ph: (602) 883-8649 |
NPI Number | 1962850073 |
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Provider Enumeration Date | 05/31/2016 |
Last Update Date | 06/01/2016 |
Identifier | Type | State | Issuer |
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1962850073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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