Organization
JUST FOR KIDS DENTISTRY KINGMAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ANTHONY DICARLO II DMD (PRESIDENT OWNER)
(928) 718-7188
Entity
Organization
Contact information
Practice address
2401 STOCKTON HILL RD, STE 1, KINGMAN, AZ 86401-4189
(928) 718-7188
(928) 718-7189
Mailing address
2401 STOCKTON HILL RD, STE 1, KINGMAN, AZ 86401
(928) 718-7188
(928) 718-7189
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
D6061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983470
—
AZ
Enumeration date
07/07/2008
Last updated
07/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us