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NPI Code Detail

MEDICARE: DR. YONE VIRGINIA PONCE D.D.S.

MEDICARE: DR. YONE VIRGINIA PONCE D.D.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryD 4107AZ

General Provider Information

NPI Number : 1003994336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YONE VIRGINIA PONCE D.D.S.
Provider Business Mailing Address
First Line : 1601 N TUCSON BLVD STE 8
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3404
Country : US
Telephone Number : 520-326-1101
Fax Number : 520-326-2556
Provider Business Practice Location Address
First Line : 1601 N TUCSON BLVD STE 8
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3404
Country : US
Telephone Number : 520-326-1101
Fax Number : 520-326-2556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 03/14/2014

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Directions to “ DR. YONE VIRGINIA PONCE D.D.S.” Practice Location

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