Individual
SERGIO GOMES DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15416 N 99TH AVE, SUN CITY, AZ 85351-1962
(623) 875-7917
Mailing address
26818 N 65TH DR, PHOENIX, AZ 85083-6506
(622) 363-8715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009301
AZ
Other
Enumeration date
08/30/2015
Last updated
05/22/2026
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