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Organization
DOCS ARIZONA, P.C.
Active
Organization
DOCS ARIZONA, P.C.
Active
Parent organization
DOCS ARIZONA, PC
Other names
DOCS Dental Davis-Monthan AFB
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCS ARIZONA, PC
Authorized official
AMANDA ANNE CLARK (DIRECTOR OF CREDENTIALING)
(267) 362-5938
Entity
Organization
Contact information
Practice address
5405 E GRANITE ST BLDG 2527, TUCSON, AZ 85707-3004
(267) 927-5000
Mailing address
1221 VINEWOOD DR, SEFFNER, FL 33584-4829
(813) 451-4503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010291
LC LIC#
AZ
Enumeration date
10/21/2021
Last updated
10/21/2021
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