Organization
SONORAN VALLEY DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GOMEZ DDS (OWNER/DENTIST)
(623) 233-1033
Entity
Organization
Contact information
Practice address
3719 W ANTHEM WAY STE 101, ANTHEM, AZ 85086-0477
(623) 233-1033
(623) 233-1034
Mailing address
PO BOX 75728, NEW RIVER, AZ 85087-1033
(623) 233-1033
(623) 233-1034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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