Organization
MAIN STREET DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUONG C KOV DDS (PRESIDENT)
(480) 833-3677
Entity
Organization
Contact information
Practice address
67 N DOBSON RD, MESA, AZ 85201-6822
(480) 833-3677
(480) 833-0566
Mailing address
67 N DOBSON RD, MESA, AZ 85201-6822
(480) 833-3677
(480) 833-0566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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