| NPI | 1134694698 |
|---|---|
| Doing Business As | THE KIDS DENTAL OFFICE OF PHOENIX AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BEN J HIMMELSTEIN Chief Legal Officer 602-903-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-03-08 |