Individual
DR. KELSEY MILES KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1855 S COUNTRY CLUB DR, SUITE 101, MESA, AZ 85210-6037
(480) 612-6095
Mailing address
19723 E ARROWHEAD TRL, QUEEN CREEK, AZ 85142-8664
(480) 390-6691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008257
AZ
Other
Enumeration date
07/19/2011
Last updated
01/05/2012
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