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Contact Information

1ST DENTAL CARE, LLC
1150 S. HIGHWAY 92,
SUITE A
SIERRA VISTA, AZ85635
 Phone: 520-459-5166
 Fax: 520-458-8425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 1ST DENTAL CARE LLC · (Female)

NPI # 1619236999
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2012
Last updated 05/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # D06074
  • AZ License # D5764
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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