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NPI Code Detail

MEDICARE: HELEN JIA

MEDICARE: HELEN JIA
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 DentistryD010442AZ

General Provider Information

NPI Number : 1700433513
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN JIA
Provider Business Mailing Address
First Line : 16701 N ORACLE RD STE 151
Second Line :
City : TUCSON
State : AZ
Zip : 85739-9102
Country : US
Telephone Number : 520-825-4491
Fax Number :
Provider Business Practice Location Address
First Line : 16701 N ORACLE RD STE 151
Second Line :
City : TUCSON
State : AZ
Zip : 85739-9102
Country : US
Telephone Number : 520-825-4491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 02/10/2022

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Directions to “ HELEN JIA ” Practice Location

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