| Bella Vita Dental Llc | |
|
4625 N Oracle Rd Tucson AZ 85705-1639 | |
| (480) 370-3365 | |
| Not Available |
| Full Name | Bella Vita Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4625 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Clara D Proffitt (OWNER) |
| Authorized Official Contact | 4803703365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vita Dental Llc Po Box 77360 Tucson AZ 85703-7360 Ph: (480) 370-3365 | Bella Vita Dental Llc 4625 N Oracle Rd Tucson AZ 85705-1639 Ph: (480) 370-3365 |
| NPI Number | 1316633001 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316633001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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