| Sun Valley Pediatric Dentistry-verrado | |
|
20800 W Market St Ste 103 Buckeye AZ 85396-8040 | |
| (623) 401-9440 | |
| Not Available |
| Full Name | Sun Valley Pediatric Dentistry-verrado |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20800 W Market St Ste 103, Buckeye, Arizona |
| Authorized Official Name and Position | Jenny Garcia (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Pediatric Dentistry-verrado Po Box 734753 Dallas TX 75373-4753 Ph: (623) 401-9440 | Sun Valley Pediatric Dentistry-verrado 20800 W Market St Ste 103 Buckeye AZ 85396-8040 Ph: (623) 401-9440 |
| NPI Number | 1952020612 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952020612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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