Kimble, Mozhgan

Kimble, Mozhgan is an sole proprietor health care provider with primary practice located at 9015 N 3Rd St , Phoenix AZ 85020-2444. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Kimble, Mozhgan can be contacted via phone (480) 882-4545.

Contact Information

Primary practice address
9015 N 3Rd St Phoenix AZ 85020-2444
Phone: (480) 882-4545
Fax: (602) 870-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D04697 Arizona
Dental Providers / Dentist 122300000X 4697 Arizona

Profile Details

NPI number 1205087228
LBN Legal business name Kimble, Mozhgan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated Jan 20th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205087228 NPPES
Arizona MEDICAID 467789

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