| Kingman Dental Group | |
|
1730 E Beverly Ave Kingman AZ 86409-3500 | |
| (928) 757-1707 | |
| (928) 757-3070 |
| Full Name | Kingman Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1730 E Beverly Ave, Kingman, Arizona |
| Authorized Official Name and Position | Leighann Samson (MANAGER) |
| Authorized Official Contact | 9287535069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingman Dental Group 1730 E Beverly Ave Kingman AZ 86409-3500 Ph: (928) 757-1707 | Kingman Dental Group 1730 E Beverly Ave Kingman AZ 86409-3500 Ph: (928) 757-1707 |
| NPI Number | 1407322399 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407322399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jason W Lowry Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 E Beverly Ave, Kingman, AZ 86409 Phone: 928-753-5069 Fax: 928-753-8115 | |
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