Individual
DR. EDWARD F KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1175 W WICKENBURG WAY STE 1, WICKENBURG, AZ 85390-2262
(928) 684-5475
(928) 684-1145
Mailing address
1175 W WICKENBURG WAY STE 1, WICKENBURG, AZ 85390-2262
(928) 684-5475
(928) 684-1145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5131
AZ
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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