Individual
KATHLEEN SHURBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4041 N CENTRAL AVE, BLDG.C, PHOENIX, AZ 85012-3330
(602) 279-5262
(602) 263-7870
Mailing address
4041 N CENTRAL AVE, BLDG.C, PHOENIX, AZ 85012-3330
(602) 279-5262
(602) 263-7870
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6821
AZ
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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