| Skyline Dental Llc | |
|
3918 W Ina Rd Suite D100 Tucson AZ 85741-2241 | |
| (520) 579-3393 | |
| (520) 579-3005 |
| Full Name | Skyline Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3918 W Ina Rd, Tucson, Arizona |
| Authorized Official Name and Position | Victor Elias Trujillo (DOCTOR MANAGER) |
| Authorized Official Contact | 5205793393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Dental Llc 3918 W Ina Rd Suite D100 Tucson AZ 85741-2241 Ph: (520) 579-3393 | Skyline Dental Llc 3918 W Ina Rd Suite D100 Tucson AZ 85741-2241 Ph: (520) 579-3393 |
| NPI Number | 1588701825 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588701825 | NPI | - | NPPES |
| 882447 | Other | UNITED CONCORDIA | |
| AZ0103321 | Other | AZ | BLUE CROSS BLUE SHIELD OF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3864 (Arizona) | Primary |
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