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Organization

SUN WEST DENTAL IV, LLC

Active
Other names
Sunwest Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TRACEY DALTON (DIRECTOR OF ADMINISTRATION)
(623) 680-3977
Entity
Organization

Contact information

Practice address
14557 W GRAND AVE STE B106, SURPRISE, AZ 85374-7104
(623) 374-3102
Mailing address
14557 W GRAND AVE STE B106, SURPRISE, AZ 85374-7104
(623) 374-3102

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D4013
AZ
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/14/2007
Last updated
05/02/2023
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