Organization
ORO VALLEY PEDIATRIC DENTISTRY PLLC
Active
Other names
Oro Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STUCKI (OWNER)
(208) 680-0186
Entity
Organization
Contact information
Practice address
8351 N ORACLE RD, TUCSON, AZ 85704-7313
(520) 297-5900
Mailing address
8351 N ORACLE RD, TUCSON, AZ 85704-7313
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992226641
—
AZ
Enumeration date
11/28/2022
Last updated
11/28/2022
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