Individual
JESSICA VENTENILLA RALDIRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
6422 E SPEEDWAY BLVD STE 150, TUCSON, AZ 85710-1149
(520) 326-8516
(520) 326-8516
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 375-5032
(520) 761-2159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D012432
AZ
1223P0221X
Pediatric Dentistry
Primary
D012432
AZ
Other
Enumeration date
02/28/2023
Last updated
07/29/2025
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