Organization
MICHAEL J. KILLEBREW DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. KILLEBREW D.D.S. (OWNER)
(520) 455-5280
Entity
Organization
Contact information
Practice address
3121 S. HIGHWAY 83, SUITE D, SONOITA, AZ 85637
(520) 455-5280
(520) 455-5474
Mailing address
PO BOX 158, SONOITA, AZ 85637-0158
(520) 455-5280
(520) 455-5474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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