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Organization
JAY S. SUAVERDEZ DDS PLLC
Active
Organization
JAY S. SUAVERDEZ DDS PLLC
Active
Other names
Estrella Falls Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S. SUAVERDEZ DDS (DDS/MANAGING MEMBER)
(602) 505-9243
Entity
Organization
Contact information
Practice address
14441 W. MCDOWELL RD, SUITE B106, GOODYEAR, AZ 85395
(623) 536-3264
Mailing address
14441 W. MCDOWELL RD, SUITE B106, GOODYEAR, AZ 85395
(623) 536-3264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D5831
AZ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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