MESA KIDTASTIC DENTAL LLC

MESA, AZ
NPI1942841663
Entity TypeOrganization
Authorized ContactFAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2019-10-03
Last Update Date2019-10-03
Business Address
MESA KIDTASTIC DENTAL LLC
1240 W SOUTHERN AVE STE 112
MESA, AZ 85202-4882
Phone number: 403-733-5437
Mailing Address
MESA KIDTASTIC DENTAL LLC
1240 W SOUTHERN AVE STE 112
MESA, AZ 85202-4882
Phone number: 403-733-5437