Organization
SUN LAKES FAMILY DENTISTRY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANINE ALYSE DUMONT D.D.S. (PRESIDENT)
(480) 895-1604
Entity
Organization
Contact information
Practice address
10440 E RIGGS RD, SUITE206, SUN LAKES, AZ 85248-7751
(480) 895-1604
Mailing address
10440 E RIGGS RD, SUITE206, SUN LAKES, AZ 85248-7751
(480) 895-1604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2813
AZ
Other
Enumeration date
04/07/2007
Last updated
08/22/2020
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