Individual
TREVER L SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
13065 W MCDOWELL RD, SUITE A101, AVONDALE, AZ 85392-6439
(623) 935-0004
Mailing address
2767 E PALMER ST, GILBERT, AZ 85298-5749
(480) 895-0801
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6841
AZ
Other
Enumeration date
02/09/2007
Last updated
07/29/2014
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