Organization
TUCSON ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADIA FRAGOZA (CREDENTIALING MGR)
(520) 293-1000
Entity
Organization
Contact information
Practice address
1426 W PRINCE RD, TUCSON, AZ 85705-3014
(520) 293-1000
(520) 293-1038
Mailing address
1426 W PRINCE RD, TUCSON, AZ 85705-3014
(520) 293-1000
(520) 293-1038
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D3413
AZ
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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