Organization
DESERT ROSE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN B JACKSON DDS (OWNER)
(435) 637-2100
Entity
Organization
Contact information
Practice address
8275 N SILVERBELL RD, TUCSON, AZ 85743-5308
(435) 637-2100
Mailing address
8275 N SILVERBELL RD, TUCSON, AZ 85743-5308
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586868
—
AZ
Enumeration date
02/12/2021
Last updated
02/12/2021
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