Organization
CIVANO DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E PICK D.D.S. (DIRECTOR)
(529) 838-0302
Entity
Organization
Contact information
Practice address
10501 E SEVEN GENERATIONS WAY, 155, TUCSON, AZ 85747-5828
(520) 838-0302
(520) 838-0982
Mailing address
10501 E SEVEN GENERATIONS WAY, 155, TUCSON, AZ 85747-5828
(520) 838-0302
(520) 838-0982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4821
AZ
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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