Kids Dental 2 P.c.

NPI #1528392891 in Mesa, Arizona

Provider Information

NPI Number: 1528392891
Entity Type: Organization
Organization Name: Kids Dental 2 P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: NBA DENTAL GROUP
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 19, 2009
Last Updated: Sep 19, 2009

Practice Location

Address: 3130 E BASELINE RD
Address 2: #103-104
City: Mesa
State: Arizona
ZIP Code: 85204-7290
Phone: (480) 813-3423

Authorized Official

Name: GEORGE RAYMOND AYOUB, DDS
Title: DENTIST
Phone: (602) 956-2024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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