Organization
KIDS DENTAL AVONDALE, 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)
(602) 833-2564
Entity
Organization
Contact information
Practice address
1579 N DYSART RD STE F, AVONDALE, AZ 85392-1221
(623) 935-9873
Mailing address
1579 N DYSART RD STE F, AVONDALE, AZ 85392-1221
(623) 935-9873
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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