Individual
DR. JAIME TOBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9276 W UNION HILLS DR STE A, PEORIA, AZ 85382-8206
(623) 566-1200
Mailing address
9276 W UNION HILLS DR STE A, PEORIA, AZ 85382-8206
(623) 566-1200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009413
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/12/2016
Last updated
01/04/2023
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