| Ham & Lacy Dental Group, Llc | |
|
10425 N Oracle Rd Ste 125 Oro Valley AZ 85737-9360 | |
| (520) 404-9425 | |
| Not Available |
| Full Name | Ham & Lacy Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10425 N Oracle Rd Ste 125, Oro Valley, Arizona |
| Authorized Official Name and Position | Sean Ham (MANAGER AND MEMBER) |
| Authorized Official Contact | 5204049425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ham & Lacy Dental Group, Llc 10425 N Oracle Rd Ste 125 Oro Valley AZ 85737-9360 Ph: (520) 404-9425 | Ham & Lacy Dental Group, Llc 10425 N Oracle Rd Ste 125 Oro Valley AZ 85737-9360 Ph: (520) 404-9425 |
| NPI Number | 1336738319 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336738319 | NPI | - | NPPES |
| 1659825255 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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