| Tucson Dental Anesthesia Pllc | |
|
6422 E Speedway Blvd Ste 140 Tucson AZ 85710-1148 | |
| (208) 559-6122 | |
| Not Available |
| Full Name | Tucson Dental Anesthesia Pllc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 6422 E Speedway Blvd Ste 140, Tucson, Arizona |
| Authorized Official Name and Position | Jeremy Bonander (OWNER) |
| Authorized Official Contact | 2085596122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Dental Anesthesia Pllc 1370 N Silverbell Rd Ste #140 Pmb #178 Tucson AZ 85745 Ph: (208) 559-6122 | Tucson Dental Anesthesia Pllc 6422 E Speedway Blvd Ste 140 Tucson AZ 85710-1148 Ph: (208) 559-6122 |
| NPI Number | 1811736457 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811736457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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