Kidiatric Dentistry, Pllc

LBN: Kidiatric Dentistry, Pllc
Kidiatric Dentistry, Pllc is an health care organization with primary practice located at 913 E Warner Rd , Gilbert AZ 85296-3078. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kidiatric Dentistry, Pllc can be contacted via phone (602) 418-1599, or through Villanueva, Walter via phone (602) 418-1592.

Contact Information

Primary practice address
913 E Warner Rd Gilbert AZ 85296-3078
Phone: (602) 418-1599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Villanueva, Walter Doctor of Dental Surgery (DDS)
Phone: (602) 418-1592

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D7782 Arizona

Profile Details

NPI number 1073895629
LBN Legal business name Kidiatric Dentistry, Pllc
DBA Doing business as Kidiatric Dentistry, Pllc
Authorized official Villanueva, Walter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2011
Last updated Sep 9th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073895629 NPPES
Arizona MEDICAID 436424

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