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Organization
TONTO BASIN DENTAL CLINIC LLC
Active
Organization
TONTO BASIN DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DENISE MORGAN RDH (OWNER/MANAGER)
(928) 701-0389
Entity
Organization
Contact information
Practice address
186 E STEPHENS WAY, TONTO BASIN, AZ 85553-0239
(928) 479-3055
Mailing address
PO BOX 776, TONTO BASIN, AZ 85553-0776
(928) 479-3055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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