Dr. Ken B, Handy, D.D.S.
Dentist, General Practice in El Paso, TX. Individual provider (NPI-1).
NPI number1720249337
StatusActive
Last updated in NPPESMay 25, 2015
Details
- NPI
- 1720249337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ken B, Handy
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2008
- Last updated
- May 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D-4155 | ID | Yes |
| 1223G0001X | Dentist, General Practice | 7397758-9923 | UT |
Practice location
1502 N Zaragoza RdEl Paso, TX 79936-7905
Phone 480-607-9999
Mailing address
8151 E Indian Bend RdSte 111
Scottsdale, AZ 85250-4826
Phone 480-607-9999
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