| Tuscano Dental | |
|
4017 N. 75th Ave, Phoenix AZ 85033 | |
| (623) 907-9334 | |
| (623) 474-2876 |
| Full Name | Tuscano Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4017 N. 75th Ave,, Phoenix, Arizona |
| Authorized Official Name and Position | Peter Phuoc Nguyen (DENTIST/OWNER) |
| Authorized Official Contact | 6239079334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuscano Dental 4017 N. 75th Ave, Phoenix AZ 85033 Ph: (623) 907-9334 | Tuscano Dental 4017 N. 75th Ave, Phoenix AZ 85033 Ph: (623) 907-9334 |
| NPI Number | 1942410741 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 04/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942410741 | NPI | - | NPPES |
| 411608 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5995 (Arizona) | Primary |
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