Individual
ERIC RICHARD JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889917
—
AZ
Enumeration date
10/16/2006
Last updated
07/09/2007
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