Organization
HDP SUNRIDGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
13830 W CAMINO DEL SOL STE 200, SUN CITY, AZ 85375-4746
(623) 544-0700
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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