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JARED ACOSTA DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1528264280

Individual Registrant:
 JARED  ACOSTA DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7701 E BROADWAY BLVD  TUCSON, AZ 85710-3941 US
Tel: 520-722-9525  Fax: --

Contact information for business:
12112 N RANCHO VISTOSO BLVD # 150-305  ORO VALLEY, AZ 85755-1840 US
Tel: --  Fax: --

Registration Information:
NPI: 1528264280
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZ7271

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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