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NPI Code Detail

MEDICARE: DR. JARED J KAHL D.D.S.

MEDICARE: DR. JARED J KAHL D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2123MT
21223G0001XGeneral Practice Dentistry7164AZ

General Provider Information

NPI Number : 1013995703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARED J KAHL D.D.S.
Provider Business Mailing Address
First Line : 8975 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1318
Country : US
Telephone Number : 520-886-6054
Fax Number :
Provider Business Practice Location Address
First Line : 8975 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1318
Country : US
Telephone Number : 520-886-6054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 06/13/2011

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