# TRI-DENT DENTAL, P.C.

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

## Provider details

- **NPI number:** 1508902263
- **Authorized official:** GREG DENT (SECRETARY)
- **Authorized official phone:** (520) 323-3241

## Contact information

- **Practice address:** 5190 E FARNESS DR, \#102, TUCSON, AZ 85712-2142
- **Practice address phone:** (520) 323-3241
- **Practice address fax:** (520) 881-1806
- **Mailing address:** 5190 E FARNESS DR, \#102, TUCSON, AZ 85712-2142
- **Mailing address phone:** (520) 323-3241
- **Mailing address fax:** (520) 881-1806

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 06/18/2008