Organization
SIERRA VISTA ENDODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIBBY A LOWRIE (MANAGER)
(520) 322-0800
Entity
Organization
Contact information
Practice address
2151 S HWY 92, STE #103, SIERRA VISTA, AZ 85635-5282
(520) 417-0311
Mailing address
2151 S HWY 92, STE #103, SIERRA VISTA, AZ 85635-5282
(520) 417-0311
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2999
AZ
Other
Enumeration date
07/21/2010
Last updated
07/28/2010
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