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Organization

BRIAN MIDEI D.D.S.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN JAMES MIDEI D.D.S. (PRESIDENT)
(520) 744-6423
Entity
Organization

Contact information

Practice address
8295 N CORTARO RD, SUITE 137, TUCSON, AZ 85743-7442
(520) 744-6423
(520) 579-6665
Mailing address
8295 N CORTARO RD, SUITE 137, TUCSON, AZ 85743-7442
(520) 744-6423
(520) 579-6665

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5377
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508875923
NPI TYPE 1
AZ
Enumeration date
06/19/2007
Last updated
08/22/2020
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