Individual
DR. RICHARD JAMES SIMONEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4566 N 1ST AVE, STE 150, TUCSON, AZ 85718-5685
(520) 742-4118
(520) 742-0126
Mailing address
4566 N 1ST AVE, STE 150, TUCSON, AZ 85718-5685
(520) 742-4118
(520) 742-0126
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2529
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083543
AHCCCS ID
AZ
Enumeration date
03/15/2007
Last updated
07/08/2007
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