NPI | 1093858805 |
---|---|
Doing Business As | SUN WEST DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SCOTT LEWIS DALTON Senior Provider 623-583-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D4013) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |