| Green Valley Dental Specialties | |
|
101 S La Canada Dr Ste 54 Green Valley AZ 85614-2664 | |
| (520) 625-2311 | |
| (520) 625-2090 |
| Full Name | Green Valley Dental Specialties |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 101 S La Canada Dr Ste 54, Green Valley, Arizona |
| Authorized Official Name and Position | Harry Jamison (OWNER) |
| Authorized Official Contact | 5206252311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Dental Specialties 101 S La Canada Dr Ste 54 Green Valley AZ 85614-2664 Ph: (520) 625-2311 | Green Valley Dental Specialties 101 S La Canada Dr Ste 54 Green Valley AZ 85614-2664 Ph: (520) 625-2311 |
| NPI Number | 1316582323 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316582323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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