Tbd Iv, Pllc | |
750 E Pusch View Ln Ste 100 Oro Valley AZ 85737-8766 | |
(520) 797-9524 | |
Not Available |
Full Name | Tbd Iv, Pllc |
---|---|
Speciality | Dentist |
Location | 750 E Pusch View Ln Ste 100, Oro Valley, Arizona |
Authorized Official Name and Position | Thomas Edward Bell (PRESIDENT) |
Authorized Official Contact | 5026403609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tbd Iv, Pllc 10675 N Summer Moon Pl Tucson AZ 85737-8631 Ph: (502) 640-3609 | Tbd Iv, Pllc 750 E Pusch View Ln Ste 100 Oro Valley AZ 85737-8766 Ph: (520) 797-9524 |
NPI Number | 1790272425 |
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Provider Enumeration Date | 04/18/2018 |
Last Update Date | 04/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790272425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D009150 (Arizona) | Primary |
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