Desert Villa Dental Llc | |
1055 N La Canada Dr Ste 109 Green Valley AZ 85614-3700 | |
(520) 399-2700 | |
(520) 399-4001 |
Full Name | Desert Villa Dental Llc |
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Speciality | Dentist - General Practice |
Location | 1055 N La Canada Dr, Green Valley, Arizona |
Authorized Official Name and Position | Wa N Chao (OWNER) |
Authorized Official Contact | 5203992700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Villa Dental Llc 1055 N La Canada Dr Ste 109 Green Valley AZ 85614-3700 Ph: (520) 399-2700 | Desert Villa Dental Llc 1055 N La Canada Dr Ste 109 Green Valley AZ 85614-3700 Ph: (520) 399-2700 |
NPI Number | 1265896468 |
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Provider Enumeration Date | 04/13/2016 |
Last Update Date | 04/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265896468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D05986 (Arizona) | Primary |
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