Organization
SUN WEST DENTAL CENTER III, LLC
Active
Parent organization
SUN WEST DENTAL CENTER III, LLC
Other names
Sun West Dental Center, Sunwest Dental Buckeye
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN WEST DENTAL CENTER III, LLC
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
407 N 4TH ST, BUCKEYE, AZ 85326-2442
(623) 327-3206
(623) 327-0563
Mailing address
407 N 4TH ST, BUCKEYE, AZ 85326-2442
(602) 354-5800
(602) 354-5860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4013
AZ
Other
Enumeration date
02/14/2007
Last updated
06/22/2021
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