Organization
SIERRA SKY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA T RUIZ (OFFICE MANAGER)
(623) 849-1000
Entity
Organization
Contact information
Practice address
5259 W INDIAN SCHOOL RD, SUITE 110, PHOENIX, AZ 85031-2604
(623) 849-1000
(623) 873-7616
Mailing address
5259 W INDIAN SCHOOL RD., SUITE 110, PHOENIX, AZ 85031
(623) 849-1000
(623) 873-7616
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
12/13/2012
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