Organization
ALPHA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE I. KIM (OWNER)
(602) 943-3700
Entity
Organization
Contact information
Practice address
9201 N 29TH AVE STE 33, PHOENIX, AZ 85051-3470
(602) 943-3700
(602) 943-3701
Mailing address
9201 N 29TH AVE STE 33, PHOENIX, AZ 85051-3470
(602) 943-3700
(602) 943-3701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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