| NPI | 1780955716 |
|---|---|
| Doing Business As | LITTLE TYKES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LONNY CARMICHAEL Owner/Dds 480-889-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D7460) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D7989) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D7727) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |