| Totally Kids Dental P.c. | |
|
3825 N 75th Ave Ste 101&102 Phoenix AZ 85033-3700 | |
| (602) 610-5088 | |
| (602) 806-8910 |
| Full Name | Totally Kids Dental P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3825 N 75th Ave Ste 101&102, Phoenix, Arizona |
| Authorized Official Name and Position | Ryan B. Baker (OWNER) |
| Authorized Official Contact | 6026105088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Totally Kids Dental P.c. 3825 N 75th Ave Ste 101&102 Phoenix AZ 85033-3700 Ph: (602) 610-5088 | Totally Kids Dental P.c. 3825 N 75th Ave Ste 101&102 Phoenix AZ 85033-3700 Ph: (602) 610-5088 |
| NPI Number | 1134833502 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134833502 | NPI | - | NPPES |
| D010661 | Other | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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