Organization
MARICOPA KIDS DENTISTS AND ORTHODONTICS, LLP
Active
Other names
Maricopa Kids Dentists and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELLIS DMD (OWNER)
(520) 589-2919
Entity
Organization
Contact information
Practice address
41940 W MARICOPA CASA GRANDE HWY STE 120, MARICOPA, AZ 85138-3234
(520) 589-2919
(520) 589-2732
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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