| Cottonwood Kids Dental Llc | |
|
2180 Az 89a Cottonwood AZ 86326 | |
| (954) 557-7399 | |
| Not Available |
| Full Name | Cottonwood Kids Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2180 Az 89a, Cottonwood, Arizona |
| Authorized Official Name and Position | Jordan Janis (OWNER/DENTIST) |
| Authorized Official Contact | 9545577399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Kids Dental Llc 4208 E Roma Ave Phoenix AZ 85018-4251 Ph: () - | Cottonwood Kids Dental Llc 2180 Az 89a Cottonwood AZ 86326 Ph: (954) 557-7399 |
| NPI Number | 1073403911 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 10/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073403911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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