| 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 |