Individual
KYE GRANT KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5135 ACACIA RD, LAS CRUCES, NM 88011-7623
(575) 649-0463
Mailing address
5135 ACACIA RD, LAS CRUCES, NM 88011-7623
(575) 649-0463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4143
NM
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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