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Organization
SUNFLOWER DENTAL LLC
Active
Organization
SUNFLOWER DENTAL LLC
Active
Other names
MV Family Dental; LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAOLA LOPEZ (PAYER ENROLLMENT SPECIALIST TEAM LE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
6108 SHOGER DR, STE A, EDWARDSVILLE, IL 62025
(618) 202-4820
Mailing address
6108 SHOGER DR, STE A, EDWARDSVILLE, IL 62025
(618) 202-4820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
12/02/2025
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