Organization
CORTARO DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGIE D DERRICK (OFFICE MANAGER)
(520) 572-1593
Entity
Organization
Contact information
Practice address
3603 W CORTARO FARMS ROAD, SUITE #113, TUCSON, AZ 85742-8615
(520) 572-1593
(520) 572-0793
Mailing address
3603 W CORTARO FARMS ROAD, SUITE #113, TUCSON, AZ 85742-8615
(520) 572-1593
(520) 572-0793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4718
AZ
Other
Enumeration date
02/23/2007
Last updated
08/24/2010
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