| Sunwest Dental | |
|
14557 W Grand Ave Ste B106 Surprise AZ 85374-7104 | |
| (623) 374-3102 | |
| Not Available |
| Full Name | Sunwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14557 W Grand Ave Ste B106, Surprise, Arizona |
| Authorized Official Name and Position | Tracey Dalton (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 6236803977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunwest Dental 14557 W Grand Ave Ste B106 Surprise AZ 85374-7104 Ph: (623) 374-3102 | Sunwest Dental 14557 W Grand Ave Ste B106 Surprise AZ 85374-7104 Ph: (623) 374-3102 |
| NPI Number | 1689716508 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689716508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4013 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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