Organization
TOOTH CLUB FOR KIDS PCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLIE STUBBS (OFFICE MANAGER)
(602) 843-1275
Entity
Organization
Contact information
Practice address
1701 E THOMAS RD STE 204, PHOENIX, AZ 85016-7675
(602) 253-6600
Mailing address
4901 W BELL RD STE 100, GLENDALE, AZ 85308-3414
(602) 843-1275
(602) 843-1275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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