Organization
WESTERN DENTAL OF ARIZONA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY E AVALOS (PPOCOORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
3922 N ORACLE RD, TUCSON, AZ 85705-3276
(520) 293-0590
(520) 293-0607
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-3560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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