# KIDSKARE P.C.

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

## Provider details

- **NPI number:** 1316937964
- **Authorized official:** MR. WILLIAM CURTIS WOOLF (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (719) 242-7210

## Contact information

- **Practice address:** 1405 S VALLEY DR STE 200, LAS CRUCES, NM 88005-3132
- **Practice address phone:** (575) 532-5437
- **Practice address fax:** (575) 532-1005
- **Mailing address:** 1405 S VALLEY DR STE 200, LAS CRUCES, NM 88005-3132
- **Mailing address phone:** (575) 532-5437
- **Mailing address fax:** (575) 532-1005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 907446 | — | AZ |
| 05 | — | J1471 | — | NM |
