Fiesta Kidtastics

LBN: Fiesta Kidtastic, Llc
Fiesta Kidtastics is an health care organization with primary practice located at 1303 S Longmore Ste 1 , Mesa AZ 85202-9607. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Fiesta Kidtastic, Llc can be contacted via phone (480) 648-4037, or through Johnson, Jaime via phone (480) 648-4037.

Contact Information

Primary practice address
1303 S Longmore Ste 1 Mesa AZ 85202-9607
Phone: (480) 648-4037
Fax: (480) 696-5505
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jaime
Phone: (480) 648-4037

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1215281688
LBN Legal business name Fiesta Kidtastic, Llc
DBA Doing business as Fiesta Kidtastics
Authorized official Johnson, Jaime
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2012
Last updated Dec 6th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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