Individual
DR. KEVIN H OTTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 W ELLIOT RD, CHANDLER, AZ 85225-1885
(480) 899-6229
(480) 786-5445
Mailing address
801 W ELLIOT RD, CHANDLER, AZ 85225-1885
(480) 899-6229
(480) 786-5445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3600
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
596389
PROVIDER ID
AZ
Enumeration date
06/08/2006
Last updated
07/08/2007
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