Organization
BAUCHE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY BAUCHE CONANT (PRESIDENT)
(520) 260-8481
Entity
Organization
Contact information
Practice address
5639 E 5TH ST STE G, TUCSON, AZ 85711-2443
(520) 571-8100
Mailing address
5135 N CAMINO ESPLENDORA, TUCSON, AZ 85718-6226
(520) 260-8481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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