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1700953361
JOHN THEODORE KETTLEWELL
PHOENIX, AZ
NPI
1700953361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 1785)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Dr. JOHN THEODORE KETTLEWELL DDS
6226 N 27TH AVE
PHOENIX, AZ 85017-6241
Phone number: 602-242-2576
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Mailing Address
Dr. JOHN THEODORE KETTLEWELL DDS
6226 N 27TH AVE
PHOENIX, AZ 85017-6241
Phone number: 602-242-2576
Copy
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