Individual
DR. KATHLEEN ANN CONDERATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7700 W ARROWHEAD TOWNE CTR, GLENDALE, AZ 85308-8616
(623) 937-6453
Mailing address
30840 N 42ND PL, CAVE CREEK, AZ 85331-5893
(419) 564-5368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073668786
—
AZ
Enumeration date
01/24/2007
Last updated
12/03/2013
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