NPI | 1942387204 |
---|---|
Doing Business As | KIDZAAM DENTISTRY |
Entity Type | Organization |
Authorized Contact | ALBERT MITCHEL HIGGINS President 928-445-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-11-01 |
Last Update Date | 2010-11-01 |