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General NPI Number Information
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NPI Number | 1144168626
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Entity Type | Organization
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Legal Business Name | TEAM KIDS DENTAL PLLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 4350 E RAY RD STE 121
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City | PHOENIX
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State | AZ
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Zip | 85044-4705
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Country | US
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Telephone | 480-759-3333
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Fax | 480-621-7022
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Provider Business Mailing Address
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Address Line | 4350 E RAY RD STE 121
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City | PHOENIX
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State | AZ
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Zip | 85044-4705
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Country | US
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Telephone | 480-759-3333
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Fax | 480-621-7022
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MANDY DAVIS
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Credential |
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Telephone | 480-759-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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