Organization
SKY DENTAL SOUTHERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA PELAYO (BILLING MNGR)
(480) 895-3252
Entity
Organization
Contact information
Practice address
3515 W SOUTHERN AVE STE 152, PHOENIX, AZ 85041-4229
(602) 268-0006
(602) 268-0007
Mailing address
3515 W SOUTHERN AVE STE 152, PHOENIX, AZ 85041-4229
(602) 268-0006
(602) 268-0007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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