Children's Dental Clinic of Tucson, LLC

NPI #1861406829 in Tucson, Arizona

Provider Information

NPI Number: 1861406829
Entity Type: Organization
Organization Name: Children's Dental Clinic of Tucson, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 27, 2006
Last Updated: May 17, 2010

Practice Location

Address: 910 W IRVINGTON RD
Address 2: #180
City: Tucson
State: Arizona
ZIP Code: 85714-2458
Phone: (520) 806-0120

Authorized Official

Name: MS. TRUDY WILLIAMS
Title: DIRECTOR, LICENSING & CREDENTIALING
Phone: (615) 750-0342

Specialties & Taxonomy Codes

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

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