Fiesta Kids Dental Llc

NPI 1770840951 - Dentist - 1223P0221X

NPI Details
NPI 1770840951
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEPHEN J STEPHEN
Position OWNER
Phone (480) 733-5437
Fax (480) 733-4164
Practice Location
1303 S LONGMORE
SUITE #1
MESA AZ, 85202-9607, US
Phone (480) 733-5437
Fax (480) 733-4164
Business Location
1303 S LONGMORE
SUITE #1
MESA AZ, 85202-9607, US
Phone (480) 733-5437
Fax (480) 733-4164
Toxanomy
Taxonomy Code 1223P0221X
License State Arizona
License Number 7384
Remove 1770840951 NPI Number
 

According to our database, Fiesta Kids Dental Llc NPI is 1770840951, taxonomy code is 1223P0221X and license number is 7384, license state is located at Arizona. Fiesta Kids Dental Llc physically located at 1303 S Longmore, Mesa AZ, 85202-9607. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1770840951 NPI number is provided on an as is basis without warranty of any kind. 1770840951 is maintained by the National Plan & Provider Enumeration System. The contents of Fiesta Kids Dental Llc are for informational purposes only.