| Sun Valley Dentistry, Inc | |
|
320 W Indian School Rd Phoenix AZ 85013-3206 | |
| (602) 248-9445 | |
| (602) 248-9447 |
| Full Name | Sun Valley Dentistry, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 320 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Larry Q Phan (DENTIST) |
| Authorized Official Contact | 6022489445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Dentistry, Inc 320 W Indian School Rd Phoenix AZ 85013-3206 Ph: (602) 248-9445 | Sun Valley Dentistry, Inc 320 W Indian School Rd Phoenix AZ 85013-3206 Ph: (602) 248-9445 |
| NPI Number | 1073789814 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073789814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D5978 (Arizona) | Primary |
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