Organization
PREETHY KUNTHARA DDS PC
Active
Other names
Simon Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETHY JACOB KUNTHARA DDS (PRESIDENT)
(480) 833-0880
Entity
Organization
Contact information
Practice address
1350 S LONGMORE, SUITE 13, MESA, AZ 85202-9603
(480) 833-0880
(480) 833-0225
Mailing address
1350 S LONGMORE, SUITE 13, MESA, AZ 85202-9603
(480) 833-0880
(480) 833-0225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5644
AZ
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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