Provider Demographics
NPI:1336293570
Name:KEYS, E. KARINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:KARINA
Last Name:KEYS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:E.
Other - Middle Name:KARINA
Other - Last Name:ALARCON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:15601 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9171
Mailing Address - Country:US
Mailing Address - Phone:520-825-9305
Mailing Address - Fax:520-825-2394
Practice Address - Street 1:15601 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-9171
Practice Address - Country:US
Practice Address - Phone:520-825-9305
Practice Address - Fax:520-825-2394
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ58251223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5825OtherARIZONA LICENSE NUMBER