# EAST FORT LOWELL DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dehnert Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861191892
- **Authorized official:** JENNY GARCIA-ROCHA (CREDENTIALING LEAD)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 3945 E FORT LOWELL RD STE 209, TUCSON, AZ 85712-1037
- **Practice address phone:** (520) 628-2818
- **Mailing address:** 3945 E FORT LOWELL RD STE 209, TUCSON, AZ 85712-1037
- **Mailing address phone:** (520) 628-2818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023