Organization
BILTMORE PEDIATRIC DENTAL GROUP
Active
Other names
MyKidzDentist Central Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST NEHRER DDS (PRESIDENT)
(831) 234-5526
Entity
Organization
Contact information
Practice address
1728 W GLENDALE AVE, #305, PHOENIX, AZ 85021-8860
(602) 995-7336
(602) 995-2665
Mailing address
1728 W GLENDALE AVE, #305, PHOENIX, AZ 85021-8860
(602) 995-7336
(602) 995-2665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8935
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955781
—
AZ
Enumeration date
12/15/2015
Last updated
12/15/2015
Update your record
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