| NPI | 1124653035 |
|---|---|
| Doing Business As | MARICOPA KIDS DENTISTS AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ERIC ELLIS Owner 520-589-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |