Desert Villa Dental LLC
NPI #1265896468 in Green Valley, Arizona
Provider Information
- NPI Number
- 1265896468
- Entity Type
- Organization
- Organization Name
- Desert Villa Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 13, 2016
- Last Updated
- Apr 13, 2016
Practice Location
- Address
- 1055 N LA CANADA DR
- Address 2
- STE 109
- City
- Green Valley
- State
- Arizona
- ZIP Code
- 85614-3700
- Phone
- (520) 399-2700
Authorized Official
- Name
- DR. WA N CHAO, DDS
- Title
- OWNER
- Phone
- (520) 399-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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