FIESTA KIDTASTIC, LLC

MESA, AZ
NPI1215281688
Doing Business AsFIESTA KIDTASTICS
Entity TypeOrganization
Authorized ContactJAIME JOHNSON
Controller
480-648-4037
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2012-11-06
Last Update Date2013-12-06
Business Address
FIESTA KIDTASTIC, LLC
1303 S LONGMORE STE 1
MESA, AZ 85202-9607
Phone number: 480-648-4037
Mailing Address
FIESTA KIDTASTIC, LLC
4704 E SOUTHERN AVE
MESA, AZ 85206-2737
Phone number: 480-648-4037