A Astra Dentist, Inc.

NPI #1619009156 in Avondale, Arizona

Provider Information

NPI Number: 1619009156
Entity Type: Organization
Organization Name: A Astra Dentist, Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1453 N DYSART RD STE B108
City: Avondale
State: Arizona
ZIP Code: 85323-1539
Phone: (623) 932-9202

Authorized Official

Name: KUONG C KOV, DDS
Title: PRESIDENT
Phone: (623) 932-9202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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