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Organization
AERIS FAMILY DENTAL RITA RANCH
Active
Organization
AERIS FAMILY DENTAL RITA RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN ALLEN DMD (MANAGER)
(520) 777-6001
Entity
Organization
Contact information
Practice address
10410 E RITA RANCH RD, TUCSON, AZ 85747-9035
(520) 777-6001
Mailing address
10410 E RITA RANCH RD, TUCSON, AZ 85747-9035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6558
AZ
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
02/03/2011
Last updated
01/23/2023
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