Individual
DR. JAMES NATHAN MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 362-0744
Mailing address
1145 10TH AVE E UNIT 318, SEATTLE, WA 98102-4086
(509) 710-8180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009935
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2017
Last updated
04/09/2018
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