| Sierra Sky Dental Llc | |
|
5259 W Indian School Rd Suite 110 Phoenix AZ 85031-2604 | |
| (623) 849-1000 | |
| (623) 873-7616 |
| Full Name | Sierra Sky Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 5259 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Lorena T Ruiz (OFFICE MANAGER) |
| Authorized Official Contact | 6238491000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Sky Dental Llc 5259 W Indian School Rd. Suite 110 Phoenix AZ 85031 Ph: (623) 849-1000 | Sierra Sky Dental Llc 5259 W Indian School Rd Suite 110 Phoenix AZ 85031-2604 Ph: (623) 849-1000 |
| NPI Number | 1609110915 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609110915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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