Organization
TOHONO O'ODHAM NATION
Active
Parent organization
TOHONO O'ODHAM NATION
Other names
TON San Simon Health Center Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOHONO O'ODHAM NATION
Authorized official
MR. EDWARD MANUEL (CHAIRMAN)
(520) 383-2028
Entity
Organization
Contact information
Practice address
HIGHWAY 86, MILE MARKER 74, SELLS, AZ 85634
(520) 362-7003
(520) 383-7009
Mailing address
PO BOX 810, SELLS, AZ 85634-0810
(520) 383-7200
(520) 383-3930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
122300000X
AZ
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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