Individual
BERKLEY JESSE HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
631 W VALENCIA RD, TUCSON, AZ 85706-7640
(520) 812-6736
Mailing address
10592 E ROSE HILL ST, TUCSON, AZ 85747-5963
(520) 647-1987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7814
AZ
Other
Enumeration date
07/06/2009
Last updated
03/03/2015
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