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Organization

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON

Active
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Organization

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON

Active
Other names
SAN XAVIER CLINIC DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ARLENE RAYMOND (BUDGET ANALYST)
(520) 295-2427
Entity
Organization

Contact information

Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2575
(520) 295-2574
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—

Other

Enumeration date
11/22/2005
Last updated
04/22/2008
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