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Organization
KIDZ CONNEXTION DENTAL CENTER
Active
Organization
KIDZ CONNEXTION DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRANETO D.M.D. (PRESIDENT/OWNER)
(623) 223-1001
Entity
Organization
Contact information
Practice address
2533 N 75TH AVE, PHOENIX, AZ 85035-1211
(623) 223-1001
(623) 873-7440
Mailing address
4727 E BELL RD, SUITE # 45101, PHOENIX, AZ 85032-2308
(623) 223-1001
(623) 873-7440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5376
AZ
Other
Enumeration date
11/17/2010
Last updated
02/06/2014
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