| Home Dental Services, Llc | |
|
2942 N 24th St #114 Phoenix AZ 85016-7844 | |
| (303) 526-7739 | |
| Not Available |
| Full Name | Home Dental Services, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2942 N 24th St, Phoenix, Arizona |
| Authorized Official Name and Position | Kenneth Kucera (PRESIDENT) |
| Authorized Official Contact | 3035267739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Dental Services, Llc 2942 N 24th St #114 Phoenix AZ 85016-7844 Ph: (303) 526-7739 | Home Dental Services, Llc 2942 N 24th St #114 Phoenix AZ 85016-7844 Ph: (303) 526-7739 |
| NPI Number | 1942539671 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942539671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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