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Organization

KIDS DENTAL PEORIA, LLC

Active
Parent organization
KIDS INTEGRATIVE DENTAL SERVICES, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIDS INTEGRATIVE DENTAL SERVICES, LLC
Authorized official
DR. LISA BETH BIENSTOCK DMD (CEO)
(480) 922-3933
Entity
Organization

Contact information

Practice address
8248 W DEER VALLEY RD, PEORIA, AZ 85382-2198
(623) 985-9873
Mailing address
8248 W DEER VALLEY RD, PEORIA, AZ 85382-2198
(623) 985-9873

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/09/2026
Last updated
06/09/2026
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