Organization
KEVIN T. AXX DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T AXX DDS (OWNER ENDODONTIST)
(602) 892-9000
Entity
Organization
Contact information
Practice address
5050 N 40TH ST STE 160, PHOENIX, AZ 85018-9181
(602) 892-9000
(602) 892-8000
Mailing address
5050 N 40TH ST STE 160, PHOENIX, AZ 85018-9181
(602) 892-9000
(602) 892-8000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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