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Organization
TOOTH CLUB FOR KIDS PHOENIX
Active
Organization
TOOTH CLUB FOR KIDS PHOENIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLIE APRIL STUBBS (OFFICE MANAGER)
(602) 843-1275
Entity
Organization
Contact information
Practice address
7777 N 43RD AVE, PHOENIX, AZ 85051-5712
(602) 888-7844
(602) 843-1276
Mailing address
4901 W BELL RD STE 100, GLENDALE, AZ 85308-3414
(602) 843-1275
(602) 843-1276
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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