| NPI | 1336645340 |
|---|---|
| Doing Business As | JUST FOR KID DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAVID STEFFEN Regional Office Manger 928-718-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |