# CIVANO DENTAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023432820
- **Authorized official:** CHARLES E PICK D.D.S. (DIRECTOR)
- **Authorized official phone:** (529) 838-0302

## Contact information

- **Practice address:** 10501 E SEVEN GENERATIONS WAY, 155, TUCSON, AZ 85747-5828
- **Practice address phone:** (520) 838-0302
- **Practice address fax:** (520) 838-0982
- **Mailing address:** 10501 E SEVEN GENERATIONS WAY, 155, TUCSON, AZ 85747-5828
- **Mailing address phone:** (520) 838-0302
- **Mailing address fax:** (520) 838-0982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4821 | AZ | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014