Western Dental of Arizona, Inc.

NPI #1063558906 in Tucson, Arizona

Provider Information

NPI Number: 1063558906
Entity Type: Organization
Organization Name: Western Dental of Arizona, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7701 E BROADWAY BLVD
City: Tucson
State: Arizona
ZIP Code: 85710-3941
Phone: (520) 722-9525

Authorized Official

Name: CINDY E. AVALOS
Title: PPOCOORDINATOR
Phone: (714) 480-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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