Organization
KINDER PEDIATRIC DENTAL SPECIALIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ESSER DOVE DDS (MEMBER)
(818) 644-7124
Entity
Organization
Contact information
Practice address
209 W. APACHE TRAIL, APACHE JUNCTION, AZ 85120
(480) 288-5955
(480) 288-4345
Mailing address
11442 E BELLS VISITS DR, SCOTTSDALE, AZ 85259
(480) 288-5955
(480) 288-4345
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
51010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456229
—
AZ
05
—
G9398501
—
CA
Enumeration date
08/27/2007
Last updated
05/20/2024
Update your record
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