Individual
MISS KNESHA ANTONIA HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2903
(928) 769-2946
Mailing address
PO BOX 763, PEACH SPRINGS, AZ 86434-0763
(928) 796-1788
(928) 769-2946
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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