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KATRINA ALT DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1417307067

Individual Registrant:
 KATRINA  ALT DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13395 N MARANA MAIN ST  MARANA, AZ 85653-7008 US
Tel: 520-616-6200  Fax: --

Contact information for business:
PO BOX 188  MARANA, AZ 85653-0188 US
Tel: 520-682-4111  Fax: --

Registration Information:
NPI: 1417307067
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZD009503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSED009503AZ01




HEALTH CARE JOBS AZ - Page 1



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