Individual
DR. KELLY S. NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 E MCKELLIPS RD, TEMPE, AZ 85281-1119
(480) 990-0873
(480) 990-0875
Mailing address
222 E MCKELLIPS RD, TEMPE, AZ 85281-1119
(480) 990-0873
(480) 990-0875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093063
—
AZ
Enumeration date
08/23/2006
Last updated
07/09/2007
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