Organization
KIDESS DENTAL ASSOCIATES LLC
Active
Other names
Reem Kidess PV Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7373 N SCOTTSDALE RD STE A220, SCOTTSDALE, AZ 85253-3596
(480) 991-2290
Mailing address
7373 N SCOTTSDALE RD STE A220, SCOTTSDALE, AZ 85253-3596
(480) 991-2290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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