Individual
JAY S. SUAVERDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1631 N. 144TH AVE, GOODYEAR, AZ 85395
(602) 505-9243
Mailing address
14441 W. MCDOWELL RD, B106, GOODYEAR, AZ 85395
(623) 536-3264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5831
AZ
Other
Enumeration date
10/06/2006
Last updated
08/08/2007
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