Individual
DR. PREETHY JACOB KUNTHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
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
10/14/2005
Last updated
12/27/2007
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