Organization
DENTISTRY FOR CHILDREN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON KEENE (OFFICE SUPERVISOR)
(480) 610-6544
Entity
Organization
Contact information
Practice address
1245 E SOUTHERN AVE, STE 12, MESA, AZ 85204-5137
(480) 610-6544
(480) 633-0670
Mailing address
1245 E SOUTHERN AVE, STE 12, MESA, AZ 85204-5137
(480) 610-6544
(480) 633-0670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5678
AZ
1223P0221X
Pediatric Dentistry
5589
AZ
Other
Enumeration date
04/25/2007
Last updated
09/11/2025
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