Individual
DR. KEVIN JAMES ORTALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
702 E BELL RD, SUITE 114, PHOENIX, AZ 85022-6639
(602) 404-0330
(602) 404-0312
Mailing address
702 EAST BELL ROAD, SUITE 114, PHOENIX, AZ 85022-6639
(602) 404-0330
(602) 404-0312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5316
AZ
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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