Sun Valley Pediatric Dentistry, Pllc | |
10750 W Mcdowell Rd Suite F-610 Avondale AZ 85392-5960 | |
(622) 347-4290 | |
(623) 474-2905 |
Full Name | Sun Valley Pediatric Dentistry, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 10750 W Mcdowell Rd, Avondale, Arizona |
Authorized Official Name and Position | Jaime Johnson (CONTROLLER) |
Authorized Official Contact | 4808899457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sun Valley Pediatric Dentistry, Pllc 4704 E Southern Ave Dept Avon Mesa AZ 85206-2737 Ph: (480) 889-9457 | Sun Valley Pediatric Dentistry, Pllc 10750 W Mcdowell Rd Suite F-610 Avondale AZ 85392-5960 Ph: (622) 347-4290 |
NPI Number | 1881074318 |
---|---|
Provider Enumeration Date | 05/29/2015 |
Last Update Date | 05/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881074318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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