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Organization

KEITH WEST DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEIANN FISH (OFFICE MANAGER)
(928) 537-4363
Entity
Organization

Contact information

Practice address
301 N CENTRAL AVE, SHOW LOW, AZ 85901-4712
(928) 537-4363
Mailing address
301 N CENTRAL AVE, SHOW LOW, AZ 85901-4712
(928) 537-4363
(928) 537-3739

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
AZ5444
AZ

Other

Enumeration date
06/05/2018
Last updated
06/05/2018
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