# KIDZ CONNEXTION DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295037687
- **Authorized official:** DR. JOHN GRANETO D.M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (623) 223-1001

## Contact information

- **Practice address:** 2533 N 75TH AVE, PHOENIX, AZ 85035-1211
- **Practice address phone:** (623) 223-1001
- **Practice address fax:** (623) 873-7440
- **Mailing address:** 4727 E BELL RD, SUITE \# 45101, PHOENIX, AZ 85032-2308
- **Mailing address phone:** (623) 223-1001
- **Mailing address fax:** (623) 873-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5376 | AZ | Yes |

## Other

- **Enumeration date:** 11/17/2010
- **Last updated:** 02/06/2014