JOHN THEODORE KETTLEWELL

PHOENIX, AZ
NPI1700953361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  1785)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. JOHN THEODORE KETTLEWELL DDS
6226 N 27TH AVE
PHOENIX, AZ 85017-6241
Phone number: 602-242-2576
Mailing Address
Dr. JOHN THEODORE KETTLEWELL DDS
6226 N 27TH AVE
PHOENIX, AZ 85017-6241
Phone number: 602-242-2576