Conderato, Kathleen Ann
Conderato, Kathleen Ann is an individual health care provider with primary practice located at 7700 W Arrowhead Towne Ctr , Glendale AZ 85308-8616. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Conderato, Kathleen Ann can be contacted via phone (623) 937-6453.Contact Information
Primary practice address
7700 W Arrowhead Towne Ctr
Glendale AZ 85308-8616
Phone: (623) 937-6453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D008598 | Arizona |
Profile Details
| NPI number | 1073668786 |
|---|---|
| LBN Legal business name | Conderato, Kathleen Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 3rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073668786 | NPPES |
| Arizona | MEDICAID | 1073668786 |
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