Organization
DESERT SHORES DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JOSEPH SANDVIK DMD (OWNER - DENTIST)
(480) 759-2000
Entity
Organization
Contact information
Practice address
16515 S 40TH ST, STE. 101, PHOENIX, AZ 85048-0558
(480) 759-2000
(480) 759-2058
Mailing address
16515 S 40TH ST, STE. 101, PHOENIX, AZ 85048-0558
(480) 759-2000
(480) 759-2058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5676
AZ
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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