| My Kidz Dentist-central | |
|
1728 W Glendale Ave Ste 305 Phoenix AZ 85021-8864 | |
| (602) 995-7336 | |
| (602) 995-2665 |
| Full Name | My Kidz Dentist-central |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1728 W Glendale Ave Ste 305, Phoenix, Arizona |
| Authorized Official Name and Position | Bobby Yang (OWNER) |
| Authorized Official Contact | 6027435642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kidz Dentist-central 1728 W Glendale Ave Ste 305 Phoenix AZ 85021-8864 Ph: (602) 995-7336 | My Kidz Dentist-central 1728 W Glendale Ave Ste 305 Phoenix AZ 85021-8864 Ph: (602) 995-7336 |
| NPI Number | 1649631953 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649631953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D06519 (Arizona) | Primary |
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