Organization
TOOTH CLUB FOR KIDS PHOENIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLIE APRIL STUBBS (OFFICE MANAGER)
(602) 843-1275
Entity
Organization
Contact information
Practice address
7777 N 43RD AVE, PHOENIX, AZ 85051-5712
(602) 888-7844
(602) 843-1276
Mailing address
4901 W BELL RD STE 100, GLENDALE, AZ 85308-3414
(602) 843-1275
(602) 843-1276
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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