STEPHANIE ANN WAGNER KETHCART

PHOENIX, AZ
NPI1508897406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D6695)
Enumeration Date2006-07-06
Last Update Date2019-08-10
Business Address
Dr. STEPHANIE ANN WAGNER KETHCART DDS
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014-2916
Phone number: 602-812-4326
Mailing Address
Dr. STEPHANIE ANN WAGNER KETHCART DDS
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014-2916
Phone number: 602-615-8516
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