Organization
COTTONWOOD KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN JANIS DMD (OWNER/DENTIST)
(954) 557-7399
Entity
Organization
Contact information
Practice address
2180 AZ 89A, COTTONWOOD, AZ 86326
(954) 557-7399
Mailing address
4208 E ROMA AVE, PHOENIX, AZ 85018-4251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
10/03/2025
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