Pueblo Del Sol Dental Care Llc

LBN: Pueblo Del Sol Dental Care Llc
Pueblo Del Sol Dental Care Llc is an health care organization with primary practice located at 1900 Paseo San Luis , Sierra Vista AZ 85635-4614. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pueblo Del Sol Dental Care Llc can be contacted via phone (520) 458-2415, or through Israelsen, Justin M via phone (520) 458-2415.

Contact Information

Primary practice address
1900 Paseo San Luis Sierra Vista AZ 85635-4614
Phone: (520) 458-2415
Fax: (520) 458-0414
Website:
Map and Directions
Authorized official contact:
Name: Israelsen, Justin M Doctor of Dental Medicine (DMD)
Phone: (520) 458-2415

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D008200 Arizona

Profile Details

NPI number 1831613934
LBN Legal business name Pueblo Del Sol Dental Care Llc
DBA Doing business as
Authorized official Israelsen, Justin M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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