| Sky Dental Southern | |
| 
					3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229  | |
| (602) 268-0006 | |
| (602) 268-0007 | 
| Full Name | Sky Dental Southern | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 3515 W Southern Ave Ste 152, Phoenix, Arizona | 
| Authorized Official Name and Position | Rosa Pelayo (BILLING MNGR) | 
| Authorized Official Contact | 4808953252 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sky Dental Southern 3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229 Ph: (602) 268-0006  | Sky Dental Southern 3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229 Ph: (602) 268-0006  | 
| NPI Number | 1285320556 | 
|---|---|
| Provider Enumeration Date | 04/11/2023 | 
| Last Update Date | 04/11/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285320556 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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