# SONORAN DENTAL STUDIO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457192783
- **Authorized official:** DR. FRANCISCO FELIPE MASCARENAS DMD (OWNER DENTIST)
- **Authorized official phone:** (623) 242-4205

## Contact information

- **Practice address:** 865 S WATSON RD STE 201, BUCKEYE, AZ 85326-3469
- **Practice address phone:** (623) 242-4205
- **Mailing address:** 15813 W ALVARADO DR, GOODYEAR, AZ 85395-7587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 06/03/2024