| Presidio Dental Pllc | |
|
8740 Thornydale Road Suite 100 Tucson AZ 85742 | |
| (520) 744-7388 | |
| (520) 744-7395 |
| Full Name | Presidio Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8740 Thornydale Road, Tucson, Arizona |
| Authorized Official Name and Position | Jesse Clayton Engle (DENTIST) |
| Authorized Official Contact | 5202456328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presidio Dental Pllc 6600 N Paseo De Angel Tucson AZ 85741-3053 Ph: () - | Presidio Dental Pllc 8740 Thornydale Road Suite 100 Tucson AZ 85742 Ph: (520) 744-7388 |
| NPI Number | 1235308834 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235308834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6870 (Arizona) | Primary |
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