Organization
GRANT AND TANQUE VERDE DENTAL LLC
Active
Other names
Grant and Tanque Verde Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L ROBERTS DMD (DENTIST/PARTNER)
(602) 790-4601
Entity
Organization
Contact information
Practice address
6601 E GRANT RD STE 3, TUCSON, AZ 85715-3897
(602) 790-4601
Mailing address
6601 E GRANT RD STE 3, TUCSON, AZ 85715-3897
(502) 790-4601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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