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BRIAN KNIFF DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1366683575
Individual Registrant: BRIAN KNIFF DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
#4 CIRCULO COPA STE C TUBAC, AZ 85646 US
Tel: 520-398-8408 Fax: 520-398-3914
Tel: 520-398-8408 Fax: 520-398-3914
Contact information for business:
P.O. BOX 4562 #4 CIRCULO COPA, STE C TUBAC DENTAL TUBAC, AZ 85646 US
Tel: 520-398-8408 Fax: 520-398-3914
Tel: 520-398-8408 Fax: 520-398-3914
Registration Information:
NPI: 1366683575
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AZ | 1748 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
