| Kktz Dental Pllc | |
|
2277 Swanson Ave Ste E Lake Havasu City AZ 86403-5991 | |
| (928) 680-6222 | |
| Not Available |
| Full Name | Kktz Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2277 Swanson Ave Ste E, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Gayle Jennings (OFFICE MANAGER) |
| Authorized Official Contact | 9285772533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kktz Dental Pllc 2277 Swanson Ave Ste E Lake Havasu City AZ 86403-5991 Ph: () - | Kktz Dental Pllc 2277 Swanson Ave Ste E Lake Havasu City AZ 86403-5991 Ph: (928) 680-6222 |
| NPI Number | 1912643578 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912643578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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