A Astra Dentist, Inc. – Dentist in Avondale, AZ

Key facts

NPI: 1619009156
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
Legal business name: A ASTRA DENTIST, INC.
Practice address: 1453 N Dysart Rd Ste B108
Avondale, AZ 85323-1539
Phone: (623) 932-9202
NPI assigned: Mar 11, 2007
Organization subpart: No

Authorized official

Name: Kuong C Kov, DDS
Title: President
Phone: (623) 932-9202

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Kuong C. Kov General Practice Dentistry · Sacaton, AZ · NPI 1639149933

NPD (past)

National Provider Directory

Locations

1453 N Dysart Rd
Ste B108
Avondale, AZ 85323
Phone (623) 932-9202

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X			Yes

Addresses

Primary practice location

1453 N Dysart Rd Ste B108
Avondale, AZ 85323-1539

Mailing address

1453 N Dysart Rd Ste B108
Avondale, AZ 85323-1539
Phone (623) 932-9202

Other providers in Avondale, AZ

All providers in Avondale, AZ · Dentist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.