Organization
KMS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOWELL (OWNER)
(602) 996-3993
Entity
Organization
Contact information
Practice address
4614 E. SHEA BLVD, SUITE D230, PHOENIX, AZ 85028-6027
(602) 996-3993
(602) 996-0675
Mailing address
4614 E. SHEA BLVD, SUITE D230, PHOENIX, AZ 85028-6027
(602) 996-3993
(602) 996-0675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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