Individual
DR. KEVIN M MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8651 N SILVERBELL RD, TUCSON, AZ 85743-9515
(520) 812-7484
Mailing address
10127 N BLUE CROSSING WAY, TUCSON, AZ 85743-5219
(520) 505-7761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8072
AZ
Other
Enumeration date
09/01/2010
Last updated
12/19/2022
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