# AERIS DENTAL DOWNTOWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AERIS FAMILY DENTAL MANAGEMENT PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114639648
- **Legal business name:** AERIS FAMILY DENTAL MANAGEMENT PLLC
- **Authorized official:** LAN ALLEN DMD (MANAGER)
- **Authorized official phone:** (520) 886-8503

## Contact information

- **Practice address:** 1 E CONGRESS ST STE 153, TUCSON, AZ 85701-1726
- **Practice address phone:** (520) 448-4477
- **Mailing address:** 1160 N PANTANO RD, TUCSON, AZ 85715-5126
- **Mailing address phone:** (520) 886-8503
- **Mailing address fax:** (520) 885-6660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2022
- **Last updated:** 12/15/2022