Organization
GREEN VALLEY DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY JAMISON D.D.S. (OWNER)
(520) 625-2311
Entity
Organization
Contact information
Practice address
101 S LA CANADA DR STE 54, GREEN VALLEY, AZ 85614-2664
(520) 625-2311
(520) 625-2090
Mailing address
101 S LA CANADA DR STE 54, GREEN VALLEY, AZ 85614-2664
(520) 625-2311
(520) 625-2090
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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