NPI | 1417099318 |
---|---|
Doing Business As | SUN WEST DENTAL |
Entity Type | Organization |
Authorized Contact | TRACEY DALTON Credentialing Specialist 623-640-0267 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D4013) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2021-06-22 |