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Organization
GRANT AND TANQUE VERDE DENTAL LLC
Active
Organization
GRANT AND TANQUE VERDE DENTAL LLC
Active
Other names
Grant and Tanque Verde Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L ROBERTS DMD (DENTIST/PARTNER)
(602) 790-4601
Entity
Organization
Contact information
Practice address
6601 E GRANT RD STE 3, TUCSON, AZ 85715-3897
(602) 790-4601
Mailing address
6601 E GRANT RD STE 3, TUCSON, AZ 85715-3897
(502) 790-4601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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