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Organization

ISMILE CMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA R SAVAGE (OWNER)
(520) 889-3358
Entity
Organization

Contact information

Practice address
4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
(520) 889-3358
(520) 889-3350
Mailing address
4600 S PARK AVE STE 6, TUCSON, AZ 85714-1697
(520) 889-3358
(520) 889-3350

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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