| My Kids' Dentist | |
|
3140 Clearwater Dr Prescott AZ 86305-7131 | |
| (928) 445-5959 | |
| (928) 445-5989 |
| Full Name | My Kids' Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3140 Clearwater Dr, Prescott, Arizona |
| Authorized Official Name and Position | Ryan S Brown (DR/OWNER) |
| Authorized Official Contact | 9284455959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kids' Dentist 3140 Clearwater Dr Prescott AZ 86305-7131 Ph: (928) 445-5959 | My Kids' Dentist 3140 Clearwater Dr Prescott AZ 86305-7131 Ph: (928) 445-5959 |
| NPI Number | 1063788768 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063788768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6985 (Arizona) | Primary |
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