Organization
FAMILY AND KIDS DENTAL LLC
Active
Other names
AZ Family and Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEVI HAUGHT DDS (OWNER)
(928) 970-2723
Entity
Organization
Contact information
Practice address
2610 W BASELINE RD STE 120, PHOENIX, AZ 85041-6400
(480) 612-5632
Mailing address
2610 W BASELINE RD STE 120, PHOENIX, AZ 85041-6400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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