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Organization
NOVA DENTAL INCORPORATED
Active
Organization
NOVA DENTAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUO JI DMD (PRESIDENT)
(520) 325-1098
Entity
Organization
Contact information
Practice address
4411 E 5TH ST, SUITE D, TUCSON, AZ 85711-2015
(520) 325-1098
(520) 325-1112
Mailing address
4411 E 5TH ST, SUITE D, TUCSON, AZ 85711-2015
(520) 325-1098
(520) 325-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6339
AZ
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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