| Kids Integrative Norterra Dentistry, Llc | |
|
2460 W Happy Valley Rd Ste 1189 Phoenix AZ 85085-8511 | |
| (602) 833-2564 | |
| Not Available |
| Full Name | Kids Integrative Norterra Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2460 W Happy Valley Rd Ste 1189, Phoenix, Arizona |
| Authorized Official Name and Position | Ben J Himmelstein (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4802297498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Integrative Norterra Dentistry, Llc 1934 E Camelback Rd Ste 110 Phoenix AZ 85016-4136 Ph: (602) 833-2564 | Kids Integrative Norterra Dentistry, Llc 2460 W Happy Valley Rd Ste 1189 Phoenix AZ 85085-8511 Ph: (602) 833-2564 |
| NPI Number | 1619822194 |
|---|---|
| Provider Enumeration Date | 03/02/2026 |
| Last Update Date | 03/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619822194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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