# DENTISTS OF SURPRISE, LLP

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

## Provider details

- **NPI number:** 1578376950
- **Authorized official:** ENOCH WIESNER (OWNER)
- **Authorized official phone:** (714) 845-8500

## Contact information

- **Practice address:** 16853 N. 145TH AVE, SUITE 173, SURPRISE, AZ 85374
- **Practice address phone:** (623) 254-7434
- **Mailing address:** PO BOX 660041, DALLAS, TX 75266-0041
- **Mailing address phone:** (714) 845-8890

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 01/29/2025