Organization
DENTISTS OF PHOENIX, LLP
Active
Other names
THE KIDS DENTAL OFFICE OF PHOENIX AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
BEN J HIMMELSTEIN (CHIEF LEGAL OFFICER)
(602) 903-4849
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 85016-4126
(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
03/08/2022
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