Pueblo Del Sol Dental Care LLC

NPI #1831613934 in Sierra Vista, Arizona

Provider Information

NPI Number: 1831613934
Entity Type: Organization
Organization Name: Pueblo Del Sol Dental Care LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 31, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1900 PASEO SAN LUIS
City: Sierra Vista
State: Arizona
ZIP Code: 85635-4614
Phone: (520) 458-2415

Authorized Official

Name: DR. JUSTIN M ISRAELSEN, DMD
Title: OWNER/MANAGER/DENTIST
Phone: (520) 458-2415

Specialties & Taxonomy Codes

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

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