NPI 1104367754

Kathleen Shurba, RDH

Practitioner Dental Hygienist Phoenix, AZ

Practice location

Address: 4041 N Central Ave Bldg.C, Phoenix, AZ 85012-3330
Phone: (602) 279-5262
Fax: (602) 263-7870

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6821 (AZ)

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Registry record

NPI: 1104367754
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2017
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.