| NPI | 1043459738 |
|---|---|
| Doing Business As | TANGERINE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DARIN S REAGAN Contracts Administrator 520-544-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2010-06-21 |