# SONORAN VALLEY DENTAL CENTER PLLC

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

## Provider details

- **NPI number:** 1619430543
- **Authorized official:** DR. ROBERT GOMEZ DDS (OWNER/DENTIST)
- **Authorized official phone:** (623) 233-1033

## Contact information

- **Practice address:** 3719 W ANTHEM WAY STE 101, ANTHEM, AZ 85086-0477
- **Practice address phone:** (623) 233-1033
- **Practice address fax:** (623) 233-1034
- **Mailing address:** PO BOX 75728, NEW RIVER, AZ 85087-1033
- **Mailing address phone:** (623) 233-1033
- **Mailing address fax:** (623) 233-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 04/08/2019