# KINO DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KINO DENTAL GROUP DBA FRONTIER DENTAL
- **Other names:** dba Frontier Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407037807
- **Legal business name:** KINO DENTAL GROUP DBA FRONTIER DENTAL
- **Authorized official:** RODNEY JENE GOLD D.D.S. (PRESIDENT)
- **Authorized official phone:** (520) 514-1883

## Contact information

- **Practice address:** 4850 E. BROADWAY BLVD., FRONTIER DENTAL, TUCSON, AZ 85710
- **Practice address phone:** (520) 514-1883
- **Practice address fax:** (520) 514-1997
- **Mailing address:** 4850 E. BROADWAY BLVD, FRONTIER DENTAL, TUCSON, AZ 85710
- **Mailing address phone:** (520) 514-1883
- **Mailing address fax:** (520) 514-1997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3398 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 04/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 092578-006 | — | AZ |