East River Road Dental LLC

NPI #1902534829 in Tucson, Arizona

Provider Information

NPI Number: 1902534829
Entity Type: Organization
Organization Name: East River Road Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 1640 E RIVER RD STE 112
City: Tucson
State: Arizona
ZIP Code: 85718-7645
Phone: (520) 299-4470

Authorized Official

Name: VICENTA REYES
Title: CREDENTIALING MANAGER
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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