Nova Dental Incorporated

NPI #1891121422 in Tucson, Arizona

Provider Information

NPI Number: 1891121422
Entity Type: Organization
Organization Name: Nova Dental Incorporated
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 14, 2013
Last Updated: Sep 14, 2013

Practice Location

Address: 4411 E 5TH ST
Address 2: SUITE D
City: Tucson
State: Arizona
ZIP Code: 85711-2015
Phone: (520) 325-1098

Authorized Official

Name: SUO JI, DMD
Title: PRESIDENT
Phone: (520) 325-1098

Specialties & Taxonomy Codes

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

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