# BAUCHE DENTAL PC

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

## Provider details

- **NPI number:** 1205370152
- **Authorized official:** DR. KIMBERLY BAUCHE CONANT (PRESIDENT)
- **Authorized official phone:** (520) 260-8481

## Contact information

- **Practice address:** 5639 E 5TH ST STE G, TUCSON, AZ 85711-2443
- **Practice address phone:** (520) 571-8100
- **Mailing address:** 5135 N CAMINO ESPLENDORA, TUCSON, AZ 85718-6226
- **Mailing address phone:** (520) 260-8481

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 12/12/2016