Individual
DR. PAMELA KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PEDIATRIC DENTIS
Contact information
Practice address
4525 CAMPUS DR, SIERRA VISTA, AZ 85635-2232
(520) 459-3011
(520) 364-4261
Mailing address
155 CALLE PORTAL, SUITE 100, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D009438
AZ
1223P0221X
Pediatric Dentistry
DD2413
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43172890
—
NM
05
—
765206
—
AZ
Enumeration date
03/30/2006
Last updated
04/27/2017
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