Sun Lakes Periodontics & Implant Dentistry, Pllc

NPI #1962642132 in Sun Lakes, Arizona

Provider Information

NPI Number
1962642132
Entity Type
Organization
Organization Name
Sun Lakes Periodontics & Implant Dentistry, Pllc
Primary Specialty
Dentist - Periodontics
Enumeration Date
Mar 2, 2009
Last Updated
Mar 2, 2009

Practice Location

Address
10450 E RIGGS RD
Address 2
SUITE #118
State
Arizona
ZIP Code
85248-7758
Phone
(480) 895-0801

Authorized Official

Name
DR. TREVER L SIU, DMD, MS
Title
DENTIST/OWNER
Phone
(480) 895-0801

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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