Individual
KEVIN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
652 E WARNER RD, GILBERT, AZ 85296-3071
(480) 581-8020
Mailing address
652 E WARNER RD STE 101, GILBERT, AZ 85296-3073
(480) 581-8020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011200
AZ
Other
Enumeration date
09/28/2021
Last updated
10/01/2021
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