Organization
SUN WEST DENTAL III, LLC
Active
Parent organization
SUN WEST DENTAL CENTER III, LLC
Other names
Sun West Dental, Sunwest Dental Mesa
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
600 E. UNIVERSITY DR., MESA, AZ 85203
(480) 610-5100
(480) 610-5111
Mailing address
600 E UNIVERSITY DR, MESA, AZ 85203-7927
(623) 640-0267
(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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