Organization · Type 2 NPI

Fiesta Kids Dental LLC

Pediatric Dentistry · Mesa, AZ

NPI number 1770840951 Active

Practice location

1303 S Longmore, Suite #1
Mesa, AZ 85202-9607

Fax (480) 733-4164

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X7384 (AZ)

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.

10 other providers at this address

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About NPI 1770840951

Fiesta Kids Dental LLC's National Provider Identifier is 1770840951, issued on Apr 12, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on Apr 12, 2012.