# YUMA DENTISTRY 4 KIDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yuma Dentistry 4 Kids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396095816
- **Authorized official:** TERESA ZWICKY (CREDENTIALING MANAGER)
- **Authorized official phone:** (480) 866-8811

## Contact information

- **Practice address:** 2816 S 4TH AVE STE C&D, YUMA, AZ 85364-8101
- **Practice address phone:** (928) 726-6023
- **Practice address fax:** (928) 726-2945
- **Mailing address:** 2816 S 4TH AVE STE C&D, YUMA, AZ 85364-8101
- **Mailing address phone:** (928) 726-6023
- **Mailing address fax:** (928) 726-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D04964 | AZ | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 08/20/2025