KIDS LITTLE SMILES DENTISTRY NPI 1225274087

NPI Information

KIDS LITTLE SMILES DENTISTRY is a general practice dentist in Kingman, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KIDS LITTLE SMILES DENTISTRY NPI is 1225274087. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kids Little Smiles Dentistry.

The provider's business location address is:

2202 HUALAPAI MOUNTAIN RD STE 201
KINGMAN, AZ
ZIP 86401-337
Phone: (928) 718-7645
Fax: (928) 718-7655

The provider's authorized official is Charles J. Lucero .
The authorized official title is General Dentist and has the following contact phone number (928) 718-7645.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 12/29/2008.

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:

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