# PREETHY KUNTHARA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simon Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245480565
- **Authorized official:** DR. PREETHY JACOB KUNTHARA DDS (PRESIDENT)
- **Authorized official phone:** (480) 833-0880

## Contact information

- **Practice address:** 1350 S LONGMORE, SUITE 13, MESA, AZ 85202-9603
- **Practice address phone:** (480) 833-0880
- **Practice address fax:** (480) 833-0225
- **Mailing address:** 1350 S LONGMORE, SUITE 13, MESA, AZ 85202-9603
- **Mailing address phone:** (480) 833-0880
- **Mailing address fax:** (480) 833-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5644 | AZ | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008