Individual
DR. CARLY JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1880 E TANGERINE RD STE 190, ORO VALLEY, AZ 85755-6239
(520) 544-5590
Mailing address
8348 RANCHO VISTA LOOP, LA MESA, NM 88044-9724
(575) 680-0364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012882
AZ
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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