MESA KIDTASTIC DENTAL LLC is a pediatric dentistry dentist in Mesa, 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. MESA KIDTASTIC DENTAL LLC NPI is 1942841663. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1240 W SOUTHERN AVE STE 112
MESA, AZ
ZIP 85202-882
Phone: (403) 733-5437
The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentialing and has the following contact phone number (972) 869-3789.
The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.