Individual
DR. KEVIN VINCENT RETHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1747 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 778-5527
(928) 778-5528
Mailing address
1747 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 778-5527
(928) 778-5528
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3884
AZ
Other
Enumeration date
09/20/2006
Last updated
10/25/2007
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