Individual
MICHAEL A KORT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1751 N STOCKTON HILL RD, KINGMAN, AZ 86401-6601
(928) 718-8668
(928) 718-2106
Mailing address
1751 N STOCKTON HILL RD, KINGMAN, AZ 86401-6601
(928) 718-8668
(928) 718-2106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D5432
AZ
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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