Individual
DOUGLAS MCKENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
US HIGHWAY 160, S OF MP 394.3, KAYENTA, AZ 86033
(928) 697-4178
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 697-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3944
CA
Other
Enumeration date
03/19/2015
Last updated
04/12/2022
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