JENNA PARK DMD PLC

TUCSON, AZ
NPI1174414320
Entity TypeOrganization
Authorized ContactCHRISTINE BARBER
Provider Enrollment Manager
315-454-6000
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
JENNA PARK DMD PLC
6303 E BROADWAY BLVD STE 101
TUCSON, AZ 85710-3547
Phone number: 520-276-1654
Mailing Address
JENNA PARK DMD PLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number: 315-454-6000