Children's Medicaid Dental Clinic, PC
Children's Medicaid Dental Clinic, PC is a General Practice Dentistry in Phoenix, Arizona. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5115 W Thomas RdPhoenix, AZ 85031-3944
Phone: (602) 233-3133
Fax: (602) 278-3139
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1326025974 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trudy Williams — Director, Licensing & Credentialing · (615) 750-0342 |
| Other names | Children'S Dental Clinic Of W. Thomas Rd. |
| NPI enumerated | December 26, 2005 |
| Last updated in NPPES | May 17, 2010 |
| Mailing address | 201 W 8th St, Suite 810, Pueblo, CO 81003-3038 |
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