JUST FOR KIDS DENTISTRY KINGMAN PLLC

KINGMAN, AZ
NPI1851554240
Entity TypeOrganization
Authorized ContactRONALD ANTHONY DICARLO
President Owner
928-718-7188
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: AZ  D6061)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
JUST FOR KIDS DENTISTRY KINGMAN PLLC
2401 STOCKTON HILL RD STE 1
KINGMAN, AZ 86401-4189
Phone number: 928-718-7188
Mailing Address
JUST FOR KIDS DENTISTRY KINGMAN PLLC
2401 STOCKTON HILL RD STE 1
KINGMAN, AZ 86401
Phone number: 928-718-7188