Organization
PRESIDIO DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE CLAYTON ENGLE D.M.D. (DENTIST)
(520) 245-6328
Entity
Organization
Contact information
Practice address
8740 THORNYDALE ROAD, SUITE 100, TUCSON, AZ 85742
(520) 744-7388
(520) 744-7395
Mailing address
6600 N PASEO DE ANGEL, TUCSON, AZ 85741-3053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6870
AZ
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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