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Organization

TUCSON DENTAL IMPLANTS AND PERIODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARK MACKELPRANG D.D.S., M.S. (MEMBER)
(310) 666-6438
Entity
Organization

Contact information

Practice address
2330 N ROSEMONT BLVD, TUCSON, AZ 85712-2163
(310) 666-6438
Mailing address
4381 N SUNSET CLIFF DR, TUCSON, AZ 85750-6934
(310) 666-6438

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D009229
AZ

Other

Enumeration date
08/21/2015
Last updated
08/21/2015
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