# GENERAL DENTISTRY 4 KIDS-KOLB PLLC

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

## Provider details

- **NPI number:** 1629226857
- **Authorized official:** MR. JOSEPH TANN J.D. (IN-HOUSE COUNSEL)
- **Authorized official phone:** (480) 607-9999

## Contact information

- **Practice address:** 1057 N KOLB RD, TUCSON, AZ 85710-1328
- **Practice address phone:** (520) 546-3185
- **Practice address fax:** (520) 546-4232
- **Mailing address:** 8151 E INDIAN BEND RD, SCOTTSDALE, AZ 85250-4826
- **Mailing address phone:** (480) 607-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4964 | AZ | Yes |

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 11/26/2013