Organization
THORNYDALE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADD WILLIAM LUKAS D.D.S. (OWNER/DENTIST)
(520) 744-5150
Entity
Organization
Contact information
Practice address
8300 N THORNYDALE RD, SUITE #116, TUCSON, AZ 85741-1167
(520) 744-5150
(520) 744-5322
Mailing address
8300 N THORNYDALE RD, SUITE #116, TUCSON, AZ 85741-1167
(520) 744-5150
(520) 744-5322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4953
AZ
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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