Organization
KM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS MASKELL DMD (OWNER)
(520) 360-3012
Entity
Organization
Contact information
Practice address
2471 N COUNTRY CLUB RD, TUCSON, AZ 85716-2503
(520) 327-5661
(520) 325-6557
Mailing address
5051 E CAMINO BOSQUE, TUCSON, AZ 85718-4613
(520) 360-3012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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