Individual
DR. KENNETH TASKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40930 N IRONWOOD DR STE 113-115, QUEEN CREEK, AZ 85140-8829
(480) 999-9091
Mailing address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6440
(505) 892-9010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4853
NM
1223P0221X
Pediatric Dentistry
D010615
AZ
Other
Enumeration date
02/18/2016
Last updated
05/16/2023
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