Individual
MRS. KATHRYN RUTH KOCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2025 N PEBBLECREEK PKWY, SUITE A-11, GOODYEAR, AZ 85395
(623) 214-9979
(623) 935-0774
Mailing address
13706 W BELL RD, STE 2, SURPRISE, AZ 85314
(623) 584-9910
(623) 584-9940
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5360
AZ
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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