Individual
DR. JEREMY KYLE HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2051 EVERGREEN LN STE A, SHOW LOW, AZ 85901-7928
(928) 457-1200
(928) 457-1199
Mailing address
2051 EVERGREEN LN STE A, SHOW LOW, AZ 85901-7928
(928) 457-1200
(928) 457-1199
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D010003
AZ
Other
Enumeration date
05/18/2018
Last updated
11/06/2022
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