Organization
SIERRA VISTA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED W HAWS D.D.S. (GENERAL DENTIST)
(520) 459-3067
Entity
Organization
Contact information
Practice address
4990 E. MEDITERRANEAN DR., SUITE A, SIERRA VISTA, AZ 85635
(520) 459-3067
(520) 459-0113
Mailing address
4990 E. MEDITERRANEAN DR., SUITE A, SIERRA VISTA, AZ 85635
(520) 459-3067
(520) 459-0113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5877
AZ
1223G0001X
General Practice Dentistry
D5931
AZ
1223G0001X
General Practice Dentistry
D7219
AZ
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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