# CORTARO DENTAL CARE PC

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

## Provider details

- **NPI number:** 1144355470
- **Authorized official:** MRS. MARGIE D DERRICK (OFFICE MANAGER)
- **Authorized official phone:** (520) 572-1593

## Contact information

- **Practice address:** 3603 W CORTARO FARMS ROAD, SUITE \#113, TUCSON, AZ 85742-8615
- **Practice address phone:** (520) 572-1593
- **Practice address fax:** (520) 572-0793
- **Mailing address:** 3603 W CORTARO FARMS ROAD, SUITE \#113, TUCSON, AZ 85742-8615
- **Mailing address phone:** (520) 572-1593
- **Mailing address fax:** (520) 572-0793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4718 | AZ | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/24/2010