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4356 N Oracle Rd Ste 140 Tucson AZ 85705-1634 | |
(520) 888-1044 | |
(520) 888-0942 |
Full Name | |
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Speciality | Dentist |
Location | 4356 N Oracle Rd, Tucson, Arizona |
Authorized Official Name and Position | Jennifer La Duc (PROVIDER RELATIONS) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | 4356 N Oracle Rd Ste 140 Tucson AZ 85705-1634 Ph: (520) 888-1044 |
NPI Number | 1457714289 |
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Provider Enumeration Date | 03/30/2016 |
Last Update Date | 03/30/2016 |
Identifier | Type | State | Issuer |
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1457714289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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