Organization
ISMILE TUCSON, LLC
Active
Other names
Tucson Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHATOYA RODRIGUEZ (AR SPECIALIST)
(520) 514-7400
Entity
Organization
Contact information
Practice address
1102 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 514-7400
Mailing address
1102 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 514-7400
(520) 514-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9197
AZ
Other
Enumeration date
08/24/2016
Last updated
04/23/2026
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