Organization
FOOTHILLS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY CLARK TILLEY (GM)
(602) 695-4192
Entity
Organization
Contact information
Practice address
7229 N THORNYDALE RD, TUCSON, AZ 85741-2097
(520) 744-3480
Mailing address
16627 S LINDSAY RD, GILBERT, AZ 85295-1501
(602) 695-4192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
10/06/2020
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