Organization
CATALINA FOOTHILLS FAMILY DENTAL, LLC
Active
Other names
Catalina Foothills Family Dental, Mark A Larsen, Jonathan S. Icely
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE K MILLER (OFFICE MANAGER)
(520) 891-0817
Entity
Organization
Contact information
Practice address
3986 N CAMPBELL AVE, TUCSON, AZ 85719-1461
(520) 795-3418
Mailing address
3986 N CAMPBELL AVE, TUCSON, AZ 85719-1461
(520) 795-3418
(520) 795-3010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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