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Individual

MR. KENNETH D DENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2314 E TOPEKA DR, PHOENIX, AZ 85024-2438
(480) 347-0215
(480) 347-0270
Mailing address
2314 E TOPEKA DR, PHOENIX, AZ 85024-2438
(480) 347-0215
(480) 347-0270

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8163H
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
675355
AZ
Enumeration date
04/23/2012
Last updated
04/23/2012
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