Organization
SUNWEST DENTAL CENTER IV, LLC
Active
Other names
Sunwest Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (REGIONAL MANAGER)
(623) 680-3977
Entity
Organization
Contact information
Practice address
14557 W GRAND AVE, SUITE 106, SURPRISE, AZ 85374-7104
(602) 864-5558
(602) 864-2451
Mailing address
14557 W GRAND AVE STE B106, SURPRISE, AZ 85374-7104
(623) 374-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4013
AZ
Other
Enumeration date
11/19/2013
Last updated
12/16/2021
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