Individual
MR. KENYON THOMAS BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2485 GREAT WESTERN STE E, PRESCOTT VALLEY, AZ 86314
(928) 775-9495
(928) 775-9497
Mailing address
570 N CITRUS LANE, HIGLEY, AZ 85236
(480) 840-5813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6960
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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