| Southern Dental Specialties Of Tucson | |
|
1601 N Tucson Blvd Ste 12c Tucson AZ 85716-3405 | |
| (520) 327-4224 | |
| Not Available |
| Full Name | Southern Dental Specialties Of Tucson |
|---|---|
| Speciality | Dentist |
| Location | 1601 N Tucson Blvd Ste 12c, Tucson, Arizona |
| Authorized Official Name and Position | Jerome Beck (SENIOR DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4808334180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Specialties Of Tucson 1601 N Tucson Blvd Ste 12c Tucson AZ 85716-3405 Ph: () - | Southern Dental Specialties Of Tucson 1601 N Tucson Blvd Ste 12c Tucson AZ 85716-3405 Ph: (520) 327-4224 |
| NPI Number | 1760956189 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760956189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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