| NPI | 1689061616 |
|---|---|
| Doing Business As | KONA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA FRANCIS Regional Manager 602-269-7797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D6543) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D7047) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |