| Michael J. Killebrew Dentistry Pllc | |
|
3121 S. Highway 83 Suite D Sonoita AZ 85637 | |
| (520) 455-5280 | |
| (520) 455-5474 |
| Full Name | Michael J. Killebrew Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3121 S. Highway 83, Sonoita, Arizona |
| Authorized Official Name and Position | Michael J. Killebrew (OWNER) |
| Authorized Official Contact | 5204555280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Killebrew Dentistry Pllc Po Box 158 Sonoita AZ 85637-0158 Ph: (520) 455-5280 | Michael J. Killebrew Dentistry Pllc 3121 S. Highway 83 Suite D Sonoita AZ 85637 Ph: (520) 455-5280 |
| NPI Number | 1750551842 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |