Organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Active
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Other names
EL RIO DENTAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Authorized official
CLINTON KUNTZ (CEO)
(520) 670-3909
Entity
Organization
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3857
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909
(520) 670-3774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947887
—
AZ
Enumeration date
04/15/2014
Last updated
01/24/2023
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