Organization
MICHAEL LACORTE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE ZARRILLO (MANAGER)
(520) 297-5900
Entity
Organization
Contact information
Practice address
8351 N ORACLE RD, TUCSON, AZ 85704-7313
(520) 297-5900
Mailing address
8351 N ORACLE RD, TUCSON, AZ 85704-7313
(520) 297-5900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4600
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335150
AHCCCS
AZ
Enumeration date
01/09/2012
Last updated
01/09/2012
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