Organization
CARE FOR KIDS OF ARIZONA, LLC
Active
Other names
CARE FOR KIDS OF ARIZONA-RESOURCE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AL CHARLESWORTH (PRESIDENT)
(602) 956-4411
Entity
Organization
Contact information
Practice address
7006 S CENTRAL AVE, PHOENIX, AZ 85042
(602) 276-1029
(602) 276-0568
Mailing address
3301 E THOMAS ROAD, PHOENIX, AZ 85018-7302
(602) 956-4411
(602) 956-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204871
ARIZONA AHCCCS
—
Enumeration date
04/13/2007
Last updated
08/06/2010
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