| NPI | 1730639840 | 
|---|---|
| Doing Business As | DESERT KIDS DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | STEVEN JAMES PETRUZZI President 760-218-1638  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008162)  | 
| Enumeration Date | 2016-10-12 | 
| Last Update Date | 2016-10-12 |