| Sun West Dental Iii, Llc | |
|
600 E. University Dr. Mesa AZ 85203 | |
| (480) 610-5100 | |
| (480) 610-5111 |
| Full Name | Sun West Dental Iii, Llc |
|---|---|
| Speciality | Dentist |
| Location | 600 E. University Dr., Mesa, Arizona |
| Authorized Official Name and Position | Tracey Dalton (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6236400267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun West Dental Iii, Llc 600 E University Dr Mesa AZ 85203-7927 Ph: (623) 640-0267 | Sun West Dental Iii, Llc 600 E. University Dr. Mesa AZ 85203 Ph: (480) 610-5100 |
| NPI Number | 1790827699 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790827699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4013 (Arizona) | Primary |
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