Organization
CARE FOR KIDS OF ARIZONA, LLC
Active
Other names
Arizona's Tooth Doctor for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HULL DDS (LEAD DOCTOR)
(623) 245-8461
Entity
Organization
Contact information
Practice address
3301 E THOMAS RD, PHOENIX, AZ 85018-7302
(602) 956-4411
(602) 956-8877
Mailing address
2330 N ALMA SCHOOL RD STE 100, CHANDLER, AZ 85224-2490
(480) 388-3222
(480) 776-6810
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
F316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240871
AHCCCS
AZ
Enumeration date
06/03/2010
Last updated
06/03/2010
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