| NPI | 1255117636 |
|---|---|
| Doing Business As | THE KIDS DENTIST TUCSON |
| Entity Type | Organization |
| Authorized Contact | CLARA D PROFFITT Consultant 520-370-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |