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Organization
TOOTH CLUB FOR KIDS PCH PLLC
Active
Organization
TOOTH CLUB FOR KIDS PCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLIE STUBBS (OFFICE MANAGER)
(602) 843-1275
Entity
Organization
Contact information
Practice address
1701 E THOMAS RD STE 204, PHOENIX, AZ 85016-7675
(602) 253-6600
Mailing address
4901 W BELL RD STE 100, GLENDALE, AZ 85308-3414
(602) 843-1275
(602) 843-1275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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