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Individual

LOU SARROSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9015 N 3RD ST, PHOENIX, AZ 85020-2444
(480) 882-4545
(602) 870-6348
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D06866
AZ
1223G0001X
General Practice Dentistry
Primary
D06866
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228234
AZ
Enumeration date
11/21/2006
Last updated
04/19/2023
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