Organization
JUST FOR KIDS DENTAL GROUP KINGMAN, PLLC
Active
Other names
Just For Kid Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEFFEN (REGIONAL OFFICE MANGER)
(928) 718-7188
Entity
Organization
Contact information
Practice address
2401 N STOCKTON HILL RD STE 1, KINGMAN, AZ 86401-4189
(928) 718-7188
Mailing address
2401 N STOCKTON HILL RD STE 1, KINGMAN, AZ 86401-4189
(928) 718-7188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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