Individual
JODIE ANNE SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2901 E BROADWAY BLVD, TUCSON, AZ 85716-5311
(520) 917-7500
Mailing address
3400 E SPEEDWAY BLVD, #118-107, TUCSON, AZ 85716-3953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D06664
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966509
—
AZ
Enumeration date
07/21/2006
Last updated
11/08/2020
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