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Individual

DR. TAMMY KY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
21001 N TATUM BLVD STE 80-1690, PHOENIX, AZ 85050-5233
(480) 419-9200
Mailing address
1000 N 44TH ST UNIT 2041, PHOENIX, AZ 85008-5775

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
108188
CA
1223G0001X
General Practice Dentistry
Primary
D012269
AZ

Other

Enumeration date
10/10/2022
Last updated
07/31/2024
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