Organization
SOUTHWEST KIDS DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA HOLLEN DMD (OWNER)
(520) 775-1245
Entity
Organization
Contact information
Practice address
6970 N ORACLE RD, SUITE 110, TUCSON, AZ 85704-4237
(520) 775-1245
(520) 775-1246
Mailing address
PO BOX 35308, TUCSON, AZ 85740-5308
(541) 961-2618
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D008688
AZ
Other
Enumeration date
03/09/2015
Last updated
06/03/2015
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