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Organization
JUST FOR KIDS GENERAL DENTISTRY, PC
Active
Organization
JUST FOR KIDS GENERAL DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ANTHONY DICARLO II D,M,D (PRESIDENT/OWNER)
(928) 718-7188
Entity
Organization
Contact information
Practice address
1111 RIATA VALLEY RD, STE 300, KINGMAN, AZ 86409-3678
(928) 692-9315
(928) 692-9408
Mailing address
2401 STOCKTON HILL RD, SUITE 1, KINGMAN, AZ 86401-4189
(928) 718-7188
(928) 718-7189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
04/16/2008
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