Tbd IV, PLLC
Dentist in Oro Valley, AZ. Organization (NPI-2).
NPI number1790272425
StatusActive
Last updated in NPPESApr 18, 2018
Details
- NPI
- 1790272425
- Entity type
- Organization (NPI-2)
- Legal business name
- Tbd IV, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2018
- Last updated
- Apr 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D009150 | AZ | Yes |
Practice location
750 E Pusch View Ln Ste 100Oro Valley, AZ 85737-8766
Phone 520-797-9524
Mailing address
10675 N Summer Moon PlTucson, AZ 85737-8631
Phone 502-640-3609 · Fax 520-329-8848
Authorized official
Thomas Edward Bell
President
5026403609
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