Organization
SUN LAKES FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B FENN DMD (OWNER/DENTIST)
(702) 325-7627
Entity
Organization
Contact information
Practice address
10325 E RIGGS RD STE 109, SUN LAKES, AZ 85248-7647
(480) 883-8000
Mailing address
287 E HUNT HWY STE 101, SAN TAN VALLEY, AZ 85143-5096
(702) 325-7627
(833) 794-7366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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