Organization
KETHCART SMILES PLLC
Active
Other names
Stephanie Kethcart DDS SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KETHCART DDS (OWNER)
(602) 615-8516
Entity
Organization
Contact information
Practice address
1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
(602) 615-8516
(602) 883-7252
Mailing address
1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
(602) 615-8516
(602) 883-7252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6695
AZ
Other
Enumeration date
06/17/2016
Last updated
08/10/2019
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