Home Dental Services, LLC

NPI #1942539671 in Phoenix, Arizona

Provider Information

NPI Number
1942539671
Entity Type
Organization
Organization Name
Home Dental Services, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 8, 2009
Last Updated
Dec 8, 2009

Practice Location

Address
2942 N 24TH ST
Address 2
#114
State
Arizona
ZIP Code
85016-7844
Phone
(303) 526-7739

Authorized Official

Name
MR. KENNETH KUCERA
Title
PRESIDENT
Phone
(303) 526-7739

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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