| NPI | 1245680438 |
|---|---|
| Other Name | STEPHANIE KETHCART DDS SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KETHCART Owner 602-615-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6695) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2019-08-10 |