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Contact Information

ADVANCED FAMILY DENTISTRY
LBN INNOVATIVE DENTAL GROUP, PLLC
5209 N ORACLE RD
TUCSON, AZ85704
 Phone: 520-353-3002
 Fax:
 Website: https://www.tucsonazdentistry.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY DENTISTRY INNOVATIVE DENTAL GROUP PLLC · (Female)

NPI # 1639677115
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2018
Last updated 02/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # D008483
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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