Organization
SDCAZ LLC
Active
Other names
Kidz Connextion
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
524 E BASELINE RD, PHOENIX, AZ 85042-6554
(480) 725-0729
Mailing address
524 E BASELINE RD, PHOENIX, AZ 85042-6554
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
01/07/2026
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