Individual
DR. JONATHAN I KALIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
417 W CENTRAL AVE, COOLIDGE, AZ 85228-4708
(520) 723-1111
Mailing address
1545 E UNIVERSITY DR, MESA, AZ 85203-8132
(480) 834-9001
(480) 844-8206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D06367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
909567
AHCCCS
AZ
Enumeration date
12/13/2006
Last updated
06/22/2016
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