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Organization
SUN LIFE FAMILY HEALTH CENTER, INC.
Active
Organization
SUN LIFE FAMILY HEALTH CENTER, INC.
Active
Other names
Sun Life Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS J ROBINETTE (CHIEF EXECUTIVE OFFICER)
(520) 836-3446
Entity
Organization
Contact information
Practice address
1864 E FLORENCE BLVD, SUITE1, CASA GRANDE, AZ 85122-5457
(520) 836-3446
(520) 836-8807
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
BL-16-58324
AZ
Other
Enumeration date
03/14/2016
Last updated
08/03/2017
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