Sun West Dental Iii, LLC

NPI #1679615587 in Tempe, Arizona

Provider Information

NPI Number: 1679615587
Entity Type: Organization
Organization Name: Sun West Dental Iii, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2007
Last Updated: Sep 3, 2019

Practice Location

Address: 1842 E. BASELINE RD.
Address 2: #B2
City: Tempe
State: Arizona
ZIP Code: 85283
Phone: (480) 831-8022

Authorized Official

Name: TRACEY DALTON
Title: CREDENTIALING SPECIALIST
Phone: (602) 354-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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