Individual
JADE CAITILIN KAUR KANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3440 E BASELINE RD STE 106, MESA, AZ 85204-7247
(480) 926-2350
Mailing address
3440 E BASELINE RD STE 106, MESA, AZ 85204-7247
(480) 926-2350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012303
AZ
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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