Sun West Dental Iv, LLC

NPI #1689716508 in Surprise, Arizona

Provider Information

NPI Number: 1689716508
Entity Type: Organization
Organization Name: Sun West Dental Iv, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 14, 2007
Last Updated: May 2, 2023

Practice Location

Address: 14557 W GRAND AVE STE B106
City: Surprise
State: Arizona
ZIP Code: 85374-7104
Phone: (623) 374-3102

Authorized Official

Name: TRACEY DALTON
Title: DIRECTOR OF ADMINISTRATION
Phone: (623) 680-3977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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