Maricopa Kids Dentists and Orthodontics, LLP

NPI #1124653035 in Maricopa, Arizona

Provider Information

NPI Number: 1124653035
Entity Type: Organization
Organization Name: Maricopa Kids Dentists and Orthodontics, LLP
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2020
Last Updated: Mar 11, 2020

Practice Location

Address: 41940 W MARICOPA CASA GRANDE HWY STE 120
City: Maricopa
State: Arizona
ZIP Code: 85138-3234
Phone: (520) 589-2919

Authorized Official

Name: ERIC ELLIS, DMD
Title: OWNER
Phone: (520) 589-2919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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