Katsur Dental of Arizona, Inc.

NPI #1174771612 in Goodyear, Arizona

Provider Information

NPI Number: 1174771612
Entity Type: Organization
Organization Name: Katsur Dental of Arizona, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 8, 2008
Last Updated: Nov 12, 2010

Practice Location

Address: 105 N LITCHFIELD RD
City: Goodyear
State: Arizona
ZIP Code: 85338-1617
Phone: (623) 932-3200

Authorized Official

Name: TERRI GARDINER
Title: CREDENTIALING COORDINATOR
Phone: (407) 772-5124

Specialties & Taxonomy Codes

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

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