# ISMILE TUCSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tucson Mountain Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063967651
- **Authorized official:** SHATOYA RODRIGUEZ (AR SPECIALIST)
- **Authorized official phone:** (520) 514-7400

## Contact information

- **Practice address:** 1102 N EL DORADO PL, TUCSON, AZ 85715-4606
- **Practice address phone:** (520) 514-7400
- **Mailing address:** 1102 N EL DORADO PL, TUCSON, AZ 85715-4606
- **Mailing address phone:** (520) 514-7400
- **Mailing address fax:** (520) 514-7403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9197 | AZ | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 04/23/2026