# PERFECT TEETH - NORTH WILMOT PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perfect Teeth - North Wilmot PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790010809
- **Authorized official:** ROSA LESSO (NATIONAL DIRECTOR OF RCM)
- **Authorized official phone:** (714) 571-3471

## Contact information

- **Practice address:** 6126 E. SPEEDWAY BLVD, TUCSON, AZ 85712
- **Practice address phone:** (520) 298-2379
- **Practice address fax:** (520) 298-7332
- **Mailing address:** 6126 E. SPEEDWAY BLVD, TUCSON, AZ 85712
- **Mailing address phone:** (520) 298-2379
- **Mailing address fax:** (520) 298-7332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4821 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 6097 | CO | — |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 11/20/2025