| Arizona Anesthesia For Dentistry, Llc | |
|
6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676 | |
| (208) 559-6122 | |
| Not Available |
| Full Name | Arizona Anesthesia For Dentistry, Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 6600 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Jeremy Bonander (DENTIST/OWNER) |
| Authorized Official Contact | 2085596122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Anesthesia For Dentistry, Llc 6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676 Ph: (208) 559-6122 | Arizona Anesthesia For Dentistry, Llc 6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676 Ph: (208) 559-6122 |
| NPI Number | 1700241809 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700241809 | NPI | - | NPPES |
| 814918 | Medicaid | AZ | |
| 908509 | Medicaid | AZ | |
| 552228 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | D8861 (Arizona) | Primary |
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