Organization · Type 2 NPI

Higley Village Kidtastic, LLC

Pediatric Dentistry · Gilbert, AZ

NPI number 1447598495 Active

Practice location

3303 E Queen Creek Rd, Suite # 106
Gilbert, AZ 85297-8532

Fax (480) 696-5505

Mailing address

4704 E Southern Ave
Mesa, AZ 85206-2737

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1447598495

Higley Village Kidtastic, LLC's National Provider Identifier is 1447598495, issued on Jan 25, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gilbert, AZ. The record was last updated on Dec 6, 2013.