Organization
SMILE TODAY THUNDERBIRD PLC
Active
Parent organization
KEYSTONE DENTAL PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE DENTAL PLC
Authorized official
DR. KYLE HUISH DDS (OWNER)
(602) 616-1562
Entity
Organization
Contact information
Practice address
1820 W THUNDERBIRD RD, SUITE 1, PHOENIX, AZ 85023-6300
(602) 616-1562
Mailing address
1820 W THUNDERBIRD RD, SUITE 1, PHOENIX, AZ 85023-6300
(602) 616-1562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8070
AZ
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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