| NPI | 1992166359 |
|---|---|
| Doing Business As | SUN LIFE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS J ROBINETTE Chief Executive Officer 520-836-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ BL-16-58324) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2017-08-03 |