Organization
NATHAN R. KITCHEN, D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RAYMOND KITCHEN D.M.D. (PRESIDENT)
(480) 830-8946
Entity
Organization
Contact information
Practice address
1259 N POWER RD, #1, MESA, AZ 85205-4909
(480) 830-8946
(480) 854-3869
Mailing address
1259 N POWER RD, #1, MESA, AZ 85205-4909
(480) 830-8946
(480) 854-3869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4880
AZ
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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