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Organization

SUNLIGHT DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L OLSEN (OFFICE MANAGER)
(623) 999-1200
Entity
Organization

Contact information

Practice address
13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
(623) 999-1200
(623) 259-1268
Mailing address
13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
(623) 999-1200
(623) 259-1258

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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