Organization
CARMICHAEL PEDIATRIC DENTISTRY
Active
Other names
Little Tykes Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNY CARMICHAEL DDS (OWNER/DDS)
(480) 889-1877
Entity
Organization
Contact information
Practice address
3592 S ATHERTON BLVD, STE #107, GILBERT, AZ 85297-7443
(480) 889-1877
(480) 889-1876
Mailing address
3592 S ATHERTON BLVD, STE #107, GILBERT, AZ 85297-7443
(480) 889-1877
(480) 889-1876
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7460
AZ
1223P0221X
Pediatric Dentistry
D7727
AZ
1223P0221X
Pediatric Dentistry
D7989
AZ
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
Update your record
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