| NPI | 1245411644 |
|---|---|
| Doing Business As | KIDS GRINS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM TAYLOR Owner/Pediatric Dentist 480-830-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ 8386) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-11-23 |