| Tooth Castle Pediatric Dentistry | |
|
2316 W Bethany Home Rd Suite 110 Phoenix AZ 85015-1850 | |
| (602) 841-4400 | |
| (601) 841-4404 |
| Full Name | Tooth Castle Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2316 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Maria Angeles Fuentes (OWNER) |
| Authorized Official Contact | 6028414400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Castle Pediatric Dentistry Po Box 45359 Phoenix AZ 85064-5359 Ph: (602) 841-4400 | Tooth Castle Pediatric Dentistry 2316 W Bethany Home Rd Suite 110 Phoenix AZ 85015-1850 Ph: (602) 841-4400 |
| NPI Number | 1316113715 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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