Organization
SWEET PEADIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI DEJBOD DDS (DENTIST/OWNER)
(253) 988-2828
Entity
Organization
Contact information
Practice address
15990 S RANCHO SAHUARITA BLVD STE 110, SAHUARITA, AZ 85629-8022
(253) 988-2828
Mailing address
1505 W SAINT MARYS RD # 178, TUCSON, AZ 85745-3107
(253) 988-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9171
AZ
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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