Individual
WILLIAM KYLE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 N SOMERTON AVE, SOMERTON, AZ 85350
(928) 310-5765
Mailing address
3575 W 12TH LN, YUMA, AZ 85364-9105
(928) 310-5765
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D011511
AZ
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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