Kenn Rosek

NPI 1134243009 · on the registry since 2007 · sole proprietor

Practice

Address: 13660 N 94th Dr Ste A2
Peoria, AZ 85381
Phone: (623) 815-1600
Organisation at this address: Walker Dental
Weight Loss Md
94th Drive, Llc
Dan Bangart Plc
Tooth Corps Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona