Individual
DR. SONIA JACOB KUNTHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
633 E RAY RD STE 104, GILBERT, AZ 85296-4202
(480) 833-0880
(480) 833-0225
Mailing address
5823 S COLUMBUS CT, GILBERT, AZ 85298-0326
(602) 369-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
37015
TX
1223G0001X
General Practice Dentistry
Primary
D010433
AZ
Other
Enumeration date
07/16/2019
Last updated
02/10/2021
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