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1548200256
KENNETH J MORAN
TUBA CITY, AZ
NPI
1548200256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AZ 5577)
Enumeration Date
2006-06-08
Last Update Date
2011-05-25
Business Address
-- KENNETH J MORAN DDS
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- KENNETH J MORAN DDS
PO BOX 600 167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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