| Pueblo Dental Management, Inc | |
|
1000 N Silverbell Rd Tucson AZ 85745-2234 | |
| (520) 624-7514 | |
| Not Available |
| Full Name | Pueblo Dental Management, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1000 N Silverbell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Geraldine M Drabs (ADMINISTRATOR) |
| Authorized Official Contact | 5206247514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Dental Management, Inc 1000 N Silverbell Rd Tucson AZ 85745-2234 Ph: (520) 624-7514 | Pueblo Dental Management, Inc 1000 N Silverbell Rd Tucson AZ 85745-2234 Ph: (520) 624-7514 |
| NPI Number | 1528135837 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 1951663236 |
|---|---|
| Medicare Enrollment ID | O20180326003038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528135837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Julia N Drabs |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477935872 PECOS PAC ID: 9335455906 Enrollment ID: I20180320001026 |
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