Individual
DR. KIRK A. SPEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-1005
(602) 344-1071
Mailing address
PO BOX 5177, PHOENIX, AZ 85010-5177
(602) 344-5651
(602) 344-5578
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2815
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2815
AZ
Other
Enumeration date
01/29/2007
Last updated
06/19/2009
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