Organization · Type 2 NPI
Tooth Club for Kids PCH PLLC
Dental Clinic/Center · Phoenix, AZ
NPI number
1053144576
Active
Practice location
1701 E Thomas Rd Ste 204
Phoenix, AZ 85016-7675
Mailing address
4901 W Bell Rd Ste 100
Glendale, AZ 85308-3414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1053144576
Tooth Club for Kids PCH PLLC's National Provider Identifier is 1053144576, issued on Aug 21, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2024.