| Corona Dental Llc | |
|
55 E Tallahassee Dr Corona De Tucson AZ 85641-2310 | |
| (520) 762-0123 | |
| (520) 762-1100 |
| Full Name | Corona Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 55 E Tallahassee Dr, Corona De Tucson, Arizona |
| Authorized Official Name and Position | Jared Haws (OWNER/DOCTOR) |
| Authorized Official Contact | 5207620123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Dental Llc 55 E Tallahassee Dr Corona De Tucson AZ 85641-2310 Ph: (520) 762-0123 | Corona Dental Llc 55 E Tallahassee Dr Corona De Tucson AZ 85641-2310 Ph: (520) 762-0123 |
| NPI Number | 1376978338 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376978338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |