Organization
1915 DENTAL PLLC
Active
Other names
Tubac Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX FOOR DMD (OWNER/DENTIST)
(520) 398-8408
Entity
Organization
Contact information
Practice address
2221 E FRONTAGE RD, C-101, TUBAC, AZ 85646
(520) 398-8408
Mailing address
PO BOX 4562, TUBAC, AZ 85646-4562
(520) 398-8408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
12/11/2024
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