Organization
DESERT VISTA ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL JONES DDS, MS (OWNER AND DR)
(520) 732-8631
Entity
Organization
Contact information
Practice address
2107 PASEO SAN LUIS, SIERRA VISTA, AZ 85635
(520) 732-8631
(520) 459-0113
Mailing address
2107 PASEO SAN LUIS, SIERRA VISTA, AZ 85635
(520) 732-8631
(520) 459-0113
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7633
AZ
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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