Organization
SUNWEST DENTAL CENTER III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
222 S MILL AVE, TEMPE, AZ 85281-2889
(602) 354-5800
(602) 344-9713
Mailing address
222 S MILL AVE STE 800, TEMPE, AZ 85281-2899
(623) 640-0267
(602) 344-9713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
06/22/2021
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