Individual
ANNALISE AVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E PUSCH VIEW LN STE 100, ORO VALLEY, AZ 85737-8766
(520) 297-2227
Mailing address
750 E PUSCH VIEW LN STE 100, ORO VALLEY, AZ 85737-8766
(520) 297-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011680
AZ
Other
Enumeration date
03/10/2022
Last updated
08/23/2023
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