| Kingman Family Dental Group Llc | |
|
1751 N Stockton Hill Rd Ste A Kingman AZ 86401-6601 | |
| (928) 718-8668 | |
| Not Available |
| Full Name | Kingman Family Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1751 N Stockton Hill Rd Ste A, Kingman, Arizona |
| Authorized Official Name and Position | Mercedes Figueroa (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6232893392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingman Family Dental Group Llc 19601 N Black Canyon Hwy # 201 Phoenix AZ 85027-4107 Ph: (623) 289-3392 | Kingman Family Dental Group Llc 1751 N Stockton Hill Rd Ste A Kingman AZ 86401-6601 Ph: (928) 718-8668 |
| NPI Number | 1235955592 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235955592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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