Organization
KIDS DENTAL , P.C.
Active
Parent organization
KIDS DENTAL PLACE
Other names
Kids Dental Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS DENTAL PLACE
Authorized official
GEORGE RAYMOND AYOUB D.D.S. (DOCTOR)
(602) 956-2024
Entity
Organization
Contact information
Practice address
9515 W CAMELBACK RD, #140, PHOENIX, AZ 85037-1355
(623) 872-2662
(602) 956-2209
Mailing address
9515 W CAMELBACK RD, #140, PHOENIX, AZ 85037-1355
(623) 872-2662
(602) 956-2209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6399
AZ
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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