| San Xavier Clinic Dental | |
|
7900 S J Stock Rd Tucson AZ 85746-7012 | |
| (520) 295-2575 | |
| (520) 295-2574 |
| Full Name | San Xavier Clinic Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 7900 S J Stock Rd, Tucson, 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 |
|---|---|
| San Xavier Clinic Dental 7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2503 | San Xavier Clinic Dental 7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2575 |
| NPI Number | 1215910484 |
|---|---|
| Provider Enumeration Date | 11/22/2005 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215910484 | NPI | - | NPPES |
| 0325678 | Other | AZ | NACADP# |
| AZ0209600 | Other | AZ | BC/BSAZ DENTAL PROV NO |
| 03D0864297 | Other | AZ | CLIA # |
| 004101-03 | Medicaid | AZ |
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