Individual
KYLE DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 N GREENFIELD RD SUITE 2, MESA, AZ 85203
(480) 832-5190
Mailing address
1848 E. MALLORY ST, MESA, AZ 85203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009018
AZ
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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