Arizona Dental Professionals, P.c.
NPI #1578966966 in Sierra Vista, Arizona
Provider Information
- NPI Number
- 1578966966
- Entity Type
- Organization
- Organization Name
- Arizona Dental Professionals, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ARIZONA DENTAL PROFESSIONALS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 400 N HWY 90 BYP STE C2
- City
- Sierra Vista
- State
- Arizona
- ZIP Code
- 85635-2293
- Phone
- (520) 459-2200
Authorized Official
- Name
- KIM WILSON
- Title
- CRED SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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