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NPI Code Detail

MEDICARE: AFFORDABLE DENTURES - TUCSON, P.C.

MEDICARE: AFFORDABLE DENTURES - TUCSON, P.C.
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
1122300000XDentist7042AZ

General Provider Information

NPI Number : 1174984892
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFORDABLE DENTURES - TUCSON, P.C.
Provider Business Mailing Address
First Line : 3782 S 16TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6079
Country : US
Telephone Number : 520-624-2626
Fax Number :
Provider Business Practice Location Address
First Line : 3782 S 16TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6079
Country : US
Telephone Number : 520-624-2626
Fax Number :
Authorized Official
Title or Position : DDS
Name : KEVIN GIVENS
Credential :
Telephone Number : 520-624-2626
Provider Enumeration Date : 03/08/2016
Last Update Date : 03/08/2016

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Directions to “AFFORDABLE DENTURES - TUCSON, P.C. ” Practice Location

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