Organization
TMJ DISORDERS OROFACIAL PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A CUEVA JR. DDS (PRESIDENT)
(520) 298-9186
Entity
Organization
Contact information
Practice address
850 N KOLB RD, TUCSON, AZ 85710-1333
(520) 298-9186
(520) 298-9608
Mailing address
850 N KOLB RD, TUCSON, AZ 85710-1333
(520) 298-9186
(520) 298-9608
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4543
AZ
Other
Enumeration date
05/11/2007
Last updated
02/24/2017
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