Individual
DR. ROBERT BRADLEY KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41111 N DAISY MOUNTAIN DR, 105, ANTHEM, AZ 85086-4957
(623) 551-5444
(623) 551-2522
Mailing address
41111 N DAISY MOUNTAIN DR, 105, ANTHEM, AZ 85086-4957
(623) 551-5444
(623) 551-2522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002
AZ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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