Sun West Dental Center Iii, LLC

NPI #1669515300 in Buckeye, Arizona

Provider Information

NPI Number
1669515300
Entity Type
Organization
Organization Name
Sun West Dental Center Iii, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SUN WEST DENTAL CENTER III, LLC
Primary Specialty
Dentist
Enumeration Date
Feb 14, 2007
Last Updated
Jun 22, 2021

Practice Location

Address
407 N 4TH ST
State
Arizona
ZIP Code
85326-2442
Phone
(623) 327-3206

Authorized Official

Name
TRACEY DALTON
Title
CREDENTIALING SPECIALIST
Phone
(623) 640-0267

Specialties & Taxonomy Codes

Specialty
Dentist

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