Organization
KAY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHAN REATH KAY D.D.S. (DOCTOR/OWNER)
(520) 577-0035
Entity
Organization
Contact information
Practice address
9180 N COACHLINE BLVD, SUITE 102, TUCSON, AZ 85743-7360
(520) 577-0035
(520) 577-0044
Mailing address
9180 N COACHLINE BLVD, SUITE 102, TUCSON, AZ 85743-7360
(520) 577-0035
(520) 577-0044
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D052454
AZ
Other
Enumeration date
01/06/2014
Last updated
01/13/2014
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