Organization
TUCSON SMILES PEDIATRIC DENTISTRY AT RITA RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA BETANCOURT (PRACTICE COORDINATOR)
(520) 664-9000
Entity
Organization
Contact information
Practice address
8265 S HOUGHTON RD, SUITE 131, TUCSON, AZ 85747-5765
(520) 664-9000
(520) 664-2090
Mailing address
8265 S HOUGHTON RD, SUITE 131, TUCSON, AZ 85747-5765
(520) 664-9000
(520) 664-2090
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5679
AZ
Other
Enumeration date
12/05/2011
Last updated
08/17/2012
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