Organization
MCBETH DMD PLLC
Active
Other names
Tooth Club For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MCKAY GARRETT DMD/PEDODONTIST (OWNER/DENTIST)
(208) 670-2914
Entity
Organization
Contact information
Practice address
4025 W BELL RD STE 18, PHOENIX, AZ 85053-2749
(623) 748-8225
Mailing address
4025 W BELL RD STE 18, PHOENIX, AZ 85053-2749
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D008806
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864771
—
AZ
Enumeration date
01/11/2017
Last updated
01/11/2017
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