| Arizona Dental Affiliates, Pllc | |
|
2165 W Orange Grove Rd Tucson AZ 85741-3118 | |
| (520) 214-5546 | |
| Not Available |
| Full Name | Arizona Dental Affiliates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2165 W Orange Grove Rd, Tucson, Arizona |
| Authorized Official Name and Position | Sibera Troy Brannon (OWNER) |
| Authorized Official Contact | 5202145546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Dental Affiliates, Pllc 2165 W Orange Grove Rd Tucson AZ 85741-3118 Ph: (520) 214-5546 | Arizona Dental Affiliates, Pllc 2165 W Orange Grove Rd Tucson AZ 85741-3118 Ph: (520) 214-5546 |
| NPI Number | 1750005435 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750005435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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