Organization
DENTISTS OF PHOENIX, LLP
Active
Parent organization
KIDS INTEGRATIVE DENTAL SERVICES, LLC
Other names
THE KIDS DENTAL OFFICE OF PHOENIX AND ORTHODONTICS, Kids Dental Camelback, Kids Dental Phoenix
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS INTEGRATIVE DENTAL SERVICES, LLC
Authorized official
LISA BETH BIENSTOCK DMD (CEO)
(602) 833-2564
Entity
Organization
Contact information
Practice address
1934 E CAMELBACK RD STE 100, PHOENIX, AZ 85016-4126
(602) 903-4894
(602) 675-9843
Mailing address
1934 E CAMELBACK RD STE 110, PHOENIX, AZ 85016-4136
(602) 903-4894
(602) 675-9843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/10/2018
Last updated
06/09/2026
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