Organization
SUN WEST DENTAL SAN TAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
2510 E HUNT HWY, SUITE #28, SAN TAN VALLEY, AZ 85143-5206
(480) 355-0761
(480) 784-3883
Mailing address
2510 E HUNT HWY STE 28, SAN TAN VALLEY, AZ 85143-5208
(623) 640-0267
(602) 344-9713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
06/22/2021
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