| A Astra Dentist, Inc. | |
|
1453 N Dysart Rd Ste B108 Avondale AZ 85323-1539 | |
| (623) 932-9202 | |
| Not Available |
| Full Name | A Astra Dentist, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1453 N Dysart Rd Ste B108, Avondale, Arizona |
| Authorized Official Name and Position | Kuong C Kov (PRESIDENT) |
| Authorized Official Contact | 6239329202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Astra Dentist, Inc. 1453 N Dysart Rd Ste B108 Avondale AZ 85323-1539 Ph: (623) 932-9202 | A Astra Dentist, Inc. 1453 N Dysart Rd Ste B108 Avondale AZ 85323-1539 Ph: (623) 932-9202 |
| NPI Number | 1619009156 |
|---|---|
| Provider Enumeration Date | 03/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 8 days ago
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