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Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Signature Smiles on Broadway, Dental Village - Eastside
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
7117 E BROADWAY BLVD, TUCSON, AZ 85710-1404
(520) 722-1212
Mailing address
7117 E BROADWAY BLVD, TUCSON, AZ 85710-1404
(520) 722-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
06/18/2019
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