| My Kidz Dentistry | |
|
1728 W Glendale Ave #305 Phoenix AZ 85021-8860 | |
| (602) 995-7336 | |
| (602) 995-2665 |
| Full Name | My Kidz Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1728 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Janice Lynn Pratt (CENTRAL OFFICE MANAGER) |
| Authorized Official Contact | 6029957336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kidz Dentistry 1728 W Glendale Ave #305 Phoenix AZ 85021-8860 Ph: (602) 995-7336 | My Kidz Dentistry 1728 W Glendale Ave #305 Phoenix AZ 85021-8860 Ph: (602) 995-7336 |
| NPI Number | 1407882681 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407882681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2428 (Arizona) | Primary |
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