Organization
ARIZONA ANESTHESIA FOR DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY RAY BONANDER DDS (OWNER)
(208) 559-6122
Entity
Organization
Contact information
Practice address
1370 N SILVERBELL RD., STE 140 #178, TUCSON, AZ 85745
(520) 222-7667
(520) 300-7330
Mailing address
1370 N SILVERBELL RD., STE 140 #178, TUCSON, AZ 85745
(520) 222-7667
(520) 300-7330
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552228
—
AZ
05
—
814918
—
AZ
05
—
908509
—
AZ
Enumeration date
12/16/2015
Last updated
05/30/2025
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