Organization
TUCSON MOUNTAIN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HUCKABEE DDS (DENTIST/OWNER)
(520) 514-7400
Entity
Organization
Contact information
Practice address
5723 E 5TH ST, TUCSON, AZ 85711-2401
(520) 514-7400
(520) 514-7403
Mailing address
5723 E 5TH ST, TUCSON, AZ 85711-2401
(520) 514-7400
(520) 514-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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