Organization
BUENA VIDA DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS LEONEL BENAVIDES DAVILA DDS (OWNER)
(520) 732-7374
Entity
Organization
Contact information
Practice address
6246 E PIMA ST STE 100, TUCSON, AZ 85712-3165
(520) 745-5577
(520) 745-5708
Mailing address
12063 E DOMNITCH DR, VAIL, AZ 85641-6876
(520) 732-7374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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