NPI | 1376685560 |
---|---|
Doing Business As | SUN WEST DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL SKAALEN Senior Provider 602-923-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D5795) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |