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Organization

SUN CITY FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AGNIESZKA WAWERSKA DDS (DDS)
(623) 972-1558
Entity
Organization

Contact information

Practice address
10228 W COGGINS DR, SUN CITY, AZ 85351-3421
(623) 972-1558
Mailing address
2826 N 151ST AVE, GOODYEAR, AZ 85338-2061
(623) 535-1705

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6249
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151409
AHCCCS
AZ
Enumeration date
04/02/2007
Last updated
08/13/2015
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