Individual
DR. MICHAEL KILLEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6373 E TANQUE VERDE RD STE 100, TUCSON, AZ 85715-3835
(520) 298-0427
Mailing address
6373 E TANQUE VERDE RD STE 100, TUCSON, AZ 85715-3835
(520) 298-0427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2339
AZ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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