Organization
A ASTRA DENTIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUONG C KOV DDS (PRESIDENT)
(623) 932-9202
Entity
Organization
Contact information
Practice address
1453 N DYSART RD STE B108, AVONDALE, AZ 85323-1539
(623) 932-9202
Mailing address
1453 N DYSART RD STE B108, AVONDALE, AZ 85323-1539
(623) 932-9202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/11/2007
Last updated
08/22/2020
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