Individual
KEN MICHAEL LEPINSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1277 E MISSOURI AVE # 18, PHOENIX, AZ 85014-2915
(602) 285-0005
(602) 274-4945
Mailing address
1277 E MISSOURI AVE # 18, PHOENIX, AZ 85014-2915
(602) 285-0005
(602) 274-4945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6394
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336238
UNITED CONCORDIA
AZ
01
—
AZ0417740
BCBS
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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