| NPI | 1194059931 |
|---|---|
| Doing Business As | KIDS DENTAL PLACE |
| Entity Type | Organization |
| Authorized Contact | GEORGE RAYMOND AYOUB Doctor 602-956-2024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6399) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |