| Sonrisa Dental, Llc | |
|
1701 W Glendale Ave Suite 1 Phoenix AZ 85021-9701 | |
| (602) 466-1213 | |
| (602) 466-3874 |
| Full Name | Sonrisa Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1701 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Lany Sicalo (ADMINISTRATOR) |
| Authorized Official Contact | 4807517708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisa Dental, Llc 9216 N Central Ave Phoenix AZ 85020-2416 Ph: (602) 466-1213 | Sonrisa Dental, Llc 1701 W Glendale Ave Suite 1 Phoenix AZ 85021-9701 Ph: (602) 466-1213 |
| NPI Number | 1346683950 |
|---|---|
| Provider Enumeration Date | 04/12/2013 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346683950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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