Organization
SUNWEST DENTAL CENTER, III LLC
Active
Parent organization
SUNWEST DENTAL CENTER III, LLC
Other names
Sunwest Dental Prescott
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNWEST DENTAL CENTER III, LLC
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
8256 E. HIGHWAY 69, PRESCOTT VALLEY, AZ 86314-8631
(928) 772-4433
(928) 772-5582
Mailing address
8256 E. HIGHWAY 69, PRESCOTT VALLEY, AZ 86314
(602) 354-5800
(602) 354-5860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4013
AZ
Other
Enumeration date
02/26/2010
Last updated
07/14/2021
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