# KINGMAN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922575844
- **Authorized official:** MRS. ARIEL RAMA (MANAGER)
- **Authorized official phone:** (623) 208-7982

## Contact information

- **Practice address:** 1751 STOCKTON HILL RD, STE A, KINGMAN, AZ 86401-6601
- **Practice address phone:** (928) 718-8668
- **Mailing address:** 34225 N 27TH DRIVE, BLDG 5 SUITE 241, PHOENIX, AZ 85085-6091
- **Mailing address phone:** (623) 439-2280
- **Mailing address fax:** (623) 289-2578

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2018
- **Last updated:** 05/03/2022
