OrganizationActive
Az Kidz Healthy Smiles, LLC
NPI 1861103178 · Public Health or Welfare Agency · Goodyear, AZ
Provider details
- NPI number
- 1861103178
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kathleen Luisi, Owner/Rdh(617) 913-3321
Specialties & taxonomies
Agencies
Practice location
16167 W Devonshire Ave
Goodyear, AZ 85395-7777
Phone: (617) 913-3321
Approximate (ZIP-level) locationGet directions
Mailing address
16167 W Devonshire Ave
Goodyear, AZ 85395-7777
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.