Organization
ARIZONA DENTAL ANESTHESIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA KUMAR DDS (DENTIST ANESTHESIOLOGIST)
(480) 678-9724
Entity
Organization
Contact information
Practice address
817 E SAN ANGELO AVE, GILBERT, AZ 85234-3513
(480) 678-9724
Mailing address
817 E SAN ANGELO AVE, GILBERT, AZ 85234-3513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381017
—
AZ
Enumeration date
06/08/2012
Last updated
06/08/2012
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