| Kids Dental Surprise, Llc | |
|
15264 W Brookside Ln Surprise AZ 85374-3989 | |
| (623) 985-9873 | |
| Not Available |
| Full Name | Kids Dental Surprise, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15264 W Brookside Ln, Surprise, Arizona |
| Authorized Official Name and Position | Lisa Beth Bienstock (CEO) |
| Authorized Official Contact | 4809223933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Surprise, Llc 15264 W Brookside Ln Surprise AZ 85374-3989 Ph: (623) 985-9873 | Kids Dental Surprise, Llc 15264 W Brookside Ln Surprise AZ 85374-3989 Ph: (623) 985-9873 |
| NPI Number | 1588598320 |
|---|---|
| Provider Enumeration Date | 06/09/2026 |
| Last Update Date | 06/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588598320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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