Organization
A 19TH AVENUE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC S KAY (OWNER)
(602) 433-0313
Entity
Organization
Contact information
Practice address
5225 N 19TH AVENUE, #C, PHOENIX, AZ 85015
(602) 433-0313
(602) 433-9343
Mailing address
5225 N 19TH AVENUE, #C, PHOENIX, AZ 85015
(602) 433-0313
(602) 433-9343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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