KINGMAN FAMILY DENTAL GROUP LLC

KINGMAN, AZ
NPI1235955592
Entity TypeOrganization
Authorized ContactMERCEDES FIGUEROA
Credentialing Specialist
623-289-3392
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
KINGMAN FAMILY DENTAL GROUP LLC
1751 N STOCKTON HILL RD STE A
KINGMAN, AZ 86401-6601
Phone number: 928-718-8668
Mailing Address
KINGMAN FAMILY DENTAL GROUP LLC
19601 N BLACK CANYON HWY # 201
PHOENIX, AZ 85027-4107
Phone number: 623-289-3392
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