PHOENIX CHILDRENS DENTISTRY NPI 1508218132

NPI Information

PHOENIX CHILDRENS DENTISTRY is a pediatric dentistry dentist in Glendale, 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. PHOENIX CHILDRENS DENTISTRY NPI is 1508218132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smile Explorers.

The provider's business location address is:

3575 W DEER VALLEY RD
STE 110
GLENDALE, AZ
ZIP 85308-002
Phone: (339) 237-0363

The provider's authorized official is Mukul Dave .
The authorized official title is Dentist and has the following contact phone number (339) 237-0363.

The CLIA number assigned to this NPI record is 03D2295449 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.

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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