Organization
DENTISTRY GROUP FOUNDATION, LLC
Active
Other names
Valleywide Sunshine Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNE ELIZABETH PRYOR (INSURANCE MANAGER)
(602) 944-0073
Entity
Organization
Contact information
Practice address
6328 E BROWN RD, SUITE 101-102, MESA, AZ 85205-4841
(480) 325-5700
(480) 325-5727
Mailing address
2323 W MESCAL ST, SUITE 205, PHOENIX, AZ 85029-4764
(602) 944-0073
(602) 944-0371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5988
AZ
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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