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Organization

KIDS GRINS-QUEEN CREEK

Active
Parent organization
JOHN W. TAYLOR, DDS, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHN W. TAYLOR, DDS, PLLC
Authorized official
TESSA BAUGHN (OFFICE MANAGER)
(480) 284-6630
Entity
Organization

Contact information

Practice address
20261 E OCOTILLO RD STE 130, QUEEN CREEK, AZ 85142-8806
(480) 284-6630
(480) 590-4436
Mailing address
20261 E OCOTILLO RD STE 130, QUEEN CREEK, AZ 85142-8806
(480) 590-4436

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
09/19/2022
Last updated
09/27/2022
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