# SUN CITY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1528189248
- **Authorized official:** DR. AGNIESZKA WAWERSKA DDS (DDS)
- **Authorized official phone:** (623) 972-1558

## Contact information

- **Practice address:** 10228 W COGGINS DR, SUN CITY, AZ 85351-3421
- **Practice address phone:** (623) 972-1558
- **Mailing address:** 2826 N 151ST AVE, GOODYEAR, AZ 85338-2061
- **Mailing address phone:** (623) 535-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6249 | AZ | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 151409 | AHCCCS | AZ |
