# GENERAL DENTAL 4 KIDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** General Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518178276
- **Authorized official:** DR. JARED W. HAWS DDS (OWNER/DENTIST)
- **Authorized official phone:** (520) 458-2520

## Contact information

- **Practice address:** 1729 PASEO SAN LUIS, B, SIERRA VISTA, AZ 85635-4611
- **Practice address phone:** (520) 458-2520
- **Practice address fax:** (520) 459-7877
- **Mailing address:** 1729 PASEO SAN LUIS, B, SIERRA VISTA, AZ 85635-4611
- **Mailing address phone:** (520) 458-2520
- **Mailing address fax:** (520) 459-7877

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 06/29/2012