Organization
TUCSON DENTAL ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BONANDER DDS (OWNER)
(208) 559-6122
Entity
Organization
Contact information
Practice address
6422 E SPEEDWAY BLVD STE 140, TUCSON, AZ 85710-1148
(208) 559-6122
Mailing address
1370 N SILVERBELL RD STE #140, PMB #178, TUCSON, AZ 85745
(208) 559-6122
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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