Individual
DILEEP DANIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 W IRVINGTON RD, #180, TUCSON, AZ 85714-2458
(520) 806-0120
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7015
AZ
Other
Enumeration date
08/22/2006
Last updated
12/18/2008
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