Organization
JAY S. SUAVERDEZ DDS PLLC
Active
Other names
Estrella Falls Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S. SUAVERDEZ DDS (DDS/MANAGING MEMBER)
(602) 505-9243
Entity
Organization
Contact information
Practice address
14441 W. MCDOWELL RD, SUITE B106, GOODYEAR, AZ 85395
(623) 536-3264
Mailing address
14441 W. MCDOWELL RD, SUITE B106, GOODYEAR, AZ 85395
(623) 536-3264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D5831
AZ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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