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Wild West Kids Dental Bullhead
Dental Clinic/Center in Bullhead City, Arizona
NPI 1932799053

Wild West Kids Dental Bullhead is a Dental Clinic/Center based in Kingman, AZ and is specialized in Dental. Wild West Kids Dental Bullhead practices in Bullhead City, AZ. The NPI Number for Wild West Kids Dental Bullhead is 1932799053 and holds a License No. (Arizona).

The current practice location address for Wild West Kids Dental Bullhead is 2401 Miracle Mile, Bullhead City, AZ and can be reached out via phone at 928-704-5573. You can also correspond with Wild West Kids Dental Bullhead through the mailing address at 2401 N STOCKTON HILL RD STE 1, KINGMAN, AZ - 86401-4189 (mailing address contact number: 928-718-7188).

Location: 2401 Miracle Mile, Bullhead City, AZ, 86401-4189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932799053
Provider Name
Wild West Kids Dental Bullhead
Credential
Provider Entity Type
Organization
Address
2401 Miracle Mile, Bullhead City, AZ, 86401-4189
Phone Number
928-704-5573
Fax Number
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 Miracle Mile
City
Bullhead City
State
Arizona
Zip
86442-7311
Phone Number
928-704-5573
Fax Number
person
Provider Business Mailing Address Details
Address
2401 N Stockton Hill Rd Ste 1
City
Kingman
State
Arizona
Zip
86401-4189
Phone Number
928-718-7188
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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