Individual
KIRAM YEO TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
191 AZ-264, GANADO, AZ 86505
(928) 755-4861
Mailing address
830 S WINTHROP CIR, MESA, AZ 85204-4633
(602) 321-6549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012492
AZ
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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