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NPI Code Detail

MEDICARE: ORO DENTAL MEDICINE

MEDICARE: ORO DENTAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4641AZ

General Provider Information

NPI Number : 1558353755
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORO DENTAL MEDICINE
Provider Business Mailing Address
First Line : 10425 N ORACLE RD
Second Line : SUITE 125
City : TUCSON
State : AZ
Zip : 85737-9357
Country : US
Telephone Number : 520-297-2227
Fax Number : 520-797-2570
Provider Business Practice Location Address
First Line : 10425 N ORACLE RD
Second Line : SUITE 125
City : TUCSON
State : AZ
Zip : 85737-9357
Country : US
Telephone Number : 520-297-2227
Fax Number : 520-797-2570
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEBRA ANN ORO
Credential : D.M.D.
Telephone Number : 520-297-2227
Provider Enumeration Date : 08/16/2005
Last Update Date : 08/22/2020

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Directions to “ORO DENTAL MEDICINE ” Practice Location

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