Organization
MY KIDZ DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE LYNN PRATT (CENTRAL OFFICE MANAGER)
(602) 995-7336
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
2428
AZ
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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