| NPI | 1811449671 |
|---|---|
| Doing Business As | KIDS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERAMY TARWATER President 602-253-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 8502) |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-02-07 |