Organization
BELLA VIDA DENTAL LLC
Active
Other names
Bella Vita Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA D PROFFITT DENTAL CONSULTANT (OWNER)
(480) 370-3365
Entity
Organization
Contact information
Practice address
4625 N ORACLE RD, TUCSON, AZ 85705-1639
(480) 370-3365
Mailing address
PO BOX 77360, TUCSON, AZ 85703-7360
(480) 370-3365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/18/2023
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