Organization
AURORA DENTAL GROUP LLC
Active
Organization
AURORA DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WHEELER DDS (OWNER)
(520) 979-1979
Entity
Organization
Contact information
Practice address
63675 E SADDLEBROOKE BLVD STE M, TUCSON, AZ 85739-1297
(520) 818-6732
(520) 818-7824
Mailing address
63675 E SADDLEBROOKE BLVD STE M, TUCSON, AZ 85739-1297
(520) 818-6732
(520) 818-7824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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