Organization
GENERAL DENTAL 4 KIDS
Active
Other names
General Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED W. HAWS DDS (OWNER/DENTIST)
(520) 458-2520
Entity
Organization
Contact information
Practice address
1729 PASEO SAN LUIS, B, SIERRA VISTA, AZ 85635-4611
(520) 458-2520
(520) 459-7877
Mailing address
1729 PASEO SAN LUIS, B, SIERRA VISTA, AZ 85635-4611
(520) 458-2520
(520) 459-7877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
06/29/2012
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