Organization
SUN WEST DENTAL III, LLC
Active
Other names
Sun West Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(602) 354-5800
Entity
Organization
Contact information
Practice address
1842 E. BASELINE RD., #B2, TEMPE, AZ 85283
(480) 831-8022
(480) 831-8023
Mailing address
4425 N. 24TH ST SUITE 100, PHOENIX, AZ 85016
(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
09/03/2019
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