Organization
PICACHO DENTAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T LEMMON DDS (PARTNER)
(720) 352-4456
Entity
Organization
Contact information
Practice address
3325 S. AVENUE 8E, STE. 4, YUMA, AZ 85365-8536
(928) 344-3177
(928) 344-3157
Mailing address
3325 S. AVENUE 8E, STE. 4, YUMA, AZ 85365
(928) 344-3177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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