East Fort Lowell Dental, LLC

NPI #1861191892 in Tucson, Arizona

Provider Information

NPI Number: 1861191892
Entity Type: Organization
Organization Name: East Fort Lowell Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 3945 E FORT LOWELL RD STE 209
City: Tucson
State: Arizona
ZIP Code: 85712-1037
Phone: (520) 628-2818

Authorized Official

Name: JENNY GARCIA-ROCHA
Title: CREDENTIALING LEAD
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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