| NPI | 1699817213 |
|---|---|
| Doing Business As | SUN WEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRACEY DALTON Credentialing Specialist 623-640-0267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-06-22 |