Individual
TERESA DIANE KILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
167 N. MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2590
(928) 283-2591
Mailing address
167 N. MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2590
(928) 283-2591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5933 C1
AL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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