Individual
STEPHEN MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13410 E MARY ANN CLEVELAND WAY, VAIL, AZ 85641-8613
(520) 316-0613
Mailing address
7307 E HEARTWOOD DR, TUCSON, AZ 85756-6138
(575) 649-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010849
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010849
AZ BOARD OF DENTAL EXAMINERS
AZ
Enumeration date
08/25/2020
Last updated
08/25/2020
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