Organization
CASAS ADOBE DENTAL OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A. JAY CITRIN D.D.S. (PRESIDENT)
(520) 887-8771
Entity
Organization
Contact information
Practice address
5601 N ORACLE RD, TUCSON, AZ 85704-3980
(520) 887-8771
Mailing address
1090 NORTHCHASE PKWY SE, STE 150, MARIETTA, GA 30067-6405
(770) 916-5031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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