| NPI | 1073895629 |
|---|---|
| Doing Business As | KIDIATRIC DENTISTRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | WALTER VILLANUEVA Pediatric Dentist/Owner 602-418-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D7782) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |