Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Houghton Family Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
KELLI ELLSWORTH (INSURANCE)
(217) 540-5152
Entity
Organization
Contact information
Practice address
9160 S HOUGHTON RD STE 100, TUCSON, AZ 85747-9731
(520) 448-3183
Mailing address
9160 S HOUGHTON RD STE 100, TUCSON, AZ 85747-9731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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