NPI: 1073895629
Provider Name: KIDIATRIC DENTISTRY, PLLC
Doing Business As: KIDIATRIC DENTISTRY, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
913 E WARNER RD
GILBERT, AZ
ZIP 85296
Phone: (602) 418-1599
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KIDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Gilbert, 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. KIDIATRIC DENTISTRY, PLLC NPI is 1073895629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kidiatric Dentistry, Pllc.
The provider's business location address is:
913 E WARNER RD
GILBERT, AZ
ZIP 85296-078
Phone: (602) 418-1599
The provider's authorized official is Walter Villanueva .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (602) 418-1592.
The enumeration date for this NPI number is 9/9/2011 and was last updated on 9/9/2011.