Higley Village Kidtastic, Llc

NPI 1447598495 - Dentist - 1223P0221X

NPI Details
NPI 1447598495
Enumeration Date 01/25/2013
Last Updated 12/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JAIME JAIME
Position CONTROLLER
Phone (480) 648-4037
Fax (480) 696-5505
Practice Location
3303 E QUEEN CREEK RD
SUITE # 106
GILBERT AZ, 85297-8532, US
Phone (480) 648-4037
Fax (480) 696-5505
Business Location
4704 E SOUTHERN AVE
MESA AZ, 85206-2737, US
Phone (480) 648-4037
Fax (480) 696-5505
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Higley Village Kidtastic, Llc NPI is 1447598495, taxonomy code is 1223P0221X Higley Village Kidtastic, Llc physically located at 3303 E Queen Creek Rd, Gilbert AZ, 85297-8532. NPI Number 1033115704 has the healthcare provider type.

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1447598495 NPI number is provided on an as is basis without warranty of any kind. 1447598495 is maintained by the National Plan & Provider Enumeration System. The contents of Higley Village Kidtastic, Llc are for informational purposes only.