| NPI | 1548445463 |
|---|---|
| Other Name | SUNSET DENTAL GROUP INC. |
| Entity Type | Organization |
| Authorized Contact | JERRY LEE KRONQUIST Office Manager 171-454-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 30388) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2022-08-11 |