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West Highway 86, Mile Marker 74 Sells AZ 85634 | |
| (520) 362-7003 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | West Highway 86, Mile Marker 74, Sells, Arizona |
| Authorized Official Name and Position | Arlene Raymond (BUDGET ANALYST) |
| Authorized Official Contact | 5202952427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2503 | West Highway 86, Mile Marker 74 Sells AZ 85634 Ph: (520) 362-7003 |
| NPI Number | 1922240464 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922240464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |