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Contact Information

CLEARCHOICE DENTAL IMPLANTS
5570 W FLYING W ST
TUCSON, AZ85713-4427
 Phone: 206-963-2289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for CLEARCHOICE DENTAL IMPLANTS

NPI Number 1891105532
LBN Legal business name CLEARCHOICE DENTAL IMPLANTS
Authorized official KEVIN MOSHER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2014
Last updated 05/03/2014 - About 12 years ago
Identifiers
WA License # 00004170
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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