Organization
SOUTHERN DENTAL SPECIALTIES OF TUCSON
Active
Parent organization
ASSOCIATED DENTAL CARE PROVIDERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS
Authorized official
JEROME BECK (SENIOR DIRECTOR OF OPERATIONS)
(480) 833-4180
Entity
Organization
Contact information
Practice address
1601 N TUCSON BLVD STE 12C, TUCSON, AZ 85716-3405
(520) 327-4224
Mailing address
1601 N TUCSON BLVD STE 12C, TUCSON, AZ 85716-3405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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