Organization Name: | A SMALL WORLD PEDIATRIC DENTISTRY |
NPI Number: | 1609075217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLA ALEXANDRA VASQUEZ (OWNER/DENTIST) |
Mailing Address: | 5533 E Bell Rd #115 Scottsdale |
State: | AZ US |
Postal Code: | 852541228 |
Phone Number: | 6022963235 |
Fax Number: | 6022963239 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 5864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |