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1447598495
HIGLEY VILLAGE KIDTASTIC, LLC
GILBERT, AZ
NPI
1447598495
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Entity Type
Organization
Authorized Contact
JAIME JOHNSON
Controller
480-648-4037
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2013-01-25
Last Update Date
2013-12-06
Business Address
HIGLEY VILLAGE KIDTASTIC, LLC
3303 E QUEEN CREEK RD SUITE # 106
GILBERT, AZ 85297-8532
Phone number: 480-648-4037
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Mailing Address
HIGLEY VILLAGE KIDTASTIC, LLC
4704 E SOUTHERN AVE
MESA, AZ 85206-2737
Phone number: 480-648-4037
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