Organization
BLUEBIRD PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE KEWALLAL DDS (PEDIATRIC DENTIST)
(615) 410-8669
Entity
Organization
Contact information
Practice address
1520 W WARNER RD STE 110, GILBERT, AZ 85233-7043
(615) 410-8669
Mailing address
1616 N CENTRAL AVE APT 3189, PHOENIX, AZ 85004-1672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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