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Individual

DR. DOUGLAS G KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3345 E BELL RD, STE 1, SCOTTSDALE, AZ 65254
(480) 607-3600
(480) 998-9289
Mailing address
12164 W FLORENCE ST, TOLLESON, AZ 85353-2746
(623) 221-2573

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2000165443
MO
1223P0221X
Pediatric Dentistry
9025376
IL
1223P0221X
Pediatric Dentistry
Primary
D6332
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
909997
AZ
Enumeration date
10/19/2005
Last updated
10/03/2008
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