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Organization
TWELVE DENTAL LLC
Active
Organization
TWELVE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG CHANG (OWNER/CEO)
(602) 955-2833
Entity
Organization
Contact information
Practice address
3275 W INA RD, SUITE 101, TUCSON, AZ 85741-2151
(520) 888-2900
(520) 408-1854
Mailing address
3275 W INA RD, SUITE 101, TUCSON, AZ 85741-2151
(520) 888-2900
(520) 408-1854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5232
AZ
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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