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Organization
SUNWEST DENTAL CENTER IV, LLC
Active
Organization
SUNWEST DENTAL CENTER IV, LLC
Active
Other names
Sunwest Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (REGIONAL MANAGER)
(623) 680-3977
Entity
Organization
Contact information
Practice address
14557 W GRAND AVE, SUITE 106, SURPRISE, AZ 85374-7104
(602) 864-5558
(602) 864-2451
Mailing address
14557 W GRAND AVE STE B106, SURPRISE, AZ 85374-7104
(623) 374-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4013
AZ
Other
Enumeration date
11/19/2013
Last updated
12/16/2021
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