| El Rio Nw Dental Clinic | |
|
340 W Prince Rd Tucson AZ 85705-6168 | |
| (520) 740-7715 | |
| Not Available |
| Full Name | El Rio Nw Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 340 W Prince Rd, Tucson, Arizona |
| Authorized Official Name and Position | Clinton Kuntz (CEO) |
| Authorized Official Contact | 5203092012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Rio Nw Dental Clinic Po Box 1231 Tucson AZ 85702-1231 Ph: (520) 670-3909 | El Rio Nw Dental Clinic 340 W Prince Rd Tucson AZ 85705-6168 Ph: (520) 740-7715 |
| NPI Number | 1558780023 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558780023 | NPI | - | NPPES |
| 947986 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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