Organization
A SMALL WORLD PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELLA ALEXANDRA VASQUEZ DDS (OWNER/DENTIST)
(602) 296-3235
Entity
Organization
Contact information
Practice address
5533 E BELL RD, #115, SCOTTSDALE, AZ 85254-1228
(602) 296-3235
(602) 296-3239
Mailing address
5533 E BELL RD, #115, SCOTTSDALE, AZ 85254-1228
(602) 296-3235
(602) 296-3239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5864
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316018773
PEDIATRIC DENTISTRY
AZ
01
—
1649352378
PEDIATRIC DENTISTRY
AZ
Enumeration date
07/13/2007
Last updated
07/13/2007
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