Organization
SOUTHERN SQUARE DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MCLEOD (CEO)
(520) 290-6181
Entity
Organization
Contact information
Practice address
5440 E SOUTHERN AVE, SUITE 107, MESA, AZ 85206-2779
(480) 830-3344
Mailing address
11550 E IRVINGTON RD, TUCSON, AZ 85747-8925
(520) 290-6181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
02/26/2009
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