Twelve Dental LLC

NPI #1871997288 in Tucson, Arizona

Provider Information

NPI Number: 1871997288
Entity Type: Organization
Organization Name: Twelve Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 3275 W INA RD
Address 2: SUITE 101
City: Tucson
State: Arizona
ZIP Code: 85741-2151
Phone: (520) 888-2900

Authorized Official

Name: DR. DOUG CHANG
Title: OWNER/CEO
Phone: (602) 955-2833

Specialties & Taxonomy Codes

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

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