| Tooth Club For Kids | |
|
4025 W Bell Rd Ste 18 Phoenix AZ 85053-2749 | |
| (623) 748-8225 | |
| Not Available |
| Full Name | Tooth Club For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4025 W Bell Rd Ste 18, Phoenix, Arizona |
| Authorized Official Name and Position | Alan Mckay Garrett (OWNER/DENTIST) |
| Authorized Official Contact | 2086702914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Club For Kids 4025 W Bell Rd Ste 18 Phoenix AZ 85053-2749 Ph: () - | Tooth Club For Kids 4025 W Bell Rd Ste 18 Phoenix AZ 85053-2749 Ph: (623) 748-8225 |
| NPI Number | 1801332093 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801332093 | NPI | - | NPPES |
| 864771 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D008806 (Arizona) | Primary |
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