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Organization
BLG DENTAL PLLC
Active
Organization
BLG DENTAL PLLC
Active
Other names
Desert Ridge Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN L GARDEA JR. DMD (OWNER/DENTIST)
(520) 886-8106
Entity
Organization
Contact information
Practice address
6761 E TANQUE VERDE RD STE 3, TUCSON, AZ 85715-5323
(520) 886-8106
(520) 886-8510
Mailing address
6761 E TANQUE VERDE RD STE 3, TUCSON, AZ 85715-5323
(520) 886-8106
(520) 886-8510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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