Kktz Dental Pllc

NPI #1093288334 in Fort Mohave, Arizona

Provider Information

NPI Number: 1093288334
Entity Type: Organization
Organization Name: Kktz Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: KKTZ DENTAL PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2019
Last Updated: Jan 9, 2019

Practice Location

Address: 5221 S HIGHWAY 95 STE 4
City: Fort Mohave
State: Arizona
ZIP Code: 86426-9244
Phone: (928) 577-2533

Authorized Official

Name: GAYLE JENNINGS
Title: OFFICE MANAGER
Phone: (928) 577-2533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Kktz	Dentist - General Practice	Fort Mohave	AI Deep Dive

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