Organization
ACOSTA SMILE
Active
Other names
Acosta Smile, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEJESUS ACOSTA D.D.S. (GENERAL DENTIST)
(520) 889-6622
Entity
Organization
Contact information
Practice address
4323 E 5TH ST, SUITE A, TUCSON, AZ 85711-2088
(520) 889-6622
Mailing address
101 S BONANZA AVE, TUCSON, AZ 85748-6789
(520) 870-5957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5235
AZ
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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