Organization
CLEARCHOICE DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MOSHER (CHIEF EXECUTIVE OFFICER)
(888) 651-9950
Entity
Organization
Contact information
Practice address
5570 W FLYING W ST, TUCSON, AZ 85713-4427
(206) 963-2289
Mailing address
5570 W FLYING W ST, TUCSON, AZ 85713-4427
(206) 963-2289
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00004170
WA
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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