GREAT GRINS CHILDREN'S DENTISTRY P.L.L.C. NPI 1134499007

NPI Information

GREAT GRINS CHILDREN'S DENTISTRY, P.L.L.C. is a pediatric dentistry dentist in Tucson, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GREAT GRINS CHILDREN'S DENTISTRY, P.L.L.C. NPI is 1134499007. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3953 E PARADISE FALLS DR
SUITE 110
TUCSON, AZ
ZIP 85712-688
Phone: (520) 325-4746
Fax: (520) 319-1031

The provider's authorized official is Angela Michele Wolfman .
The authorized official title is Doctor/owner and has the following contact phone number (520) 325-4746.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 5/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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