Individual
THERESA J KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4525 CAMPUS DR, SIERRA VISTA, AZ 85635-2232
(520) 459-3011
Mailing address
155 CALLE PORTAL STE 100, SIERRA VISTA, AZ 85635-2900
(520) 459-3012
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H04638
AZ
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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