| Sun Lakes Periodontics & Implant Dentistry, Pllc | |
|
10450 E Riggs Rd Suite #118 Sun Lakes AZ 85248-7758 | |
| (480) 895-0801 | |
| (480) 895-5927 |
| Full Name | Sun Lakes Periodontics & Implant Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10450 E Riggs Rd, Sun Lakes, Arizona |
| Authorized Official Name and Position | Trever L Siu (DENTIST/OWNER) |
| Authorized Official Contact | 4808950801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Lakes Periodontics & Implant Dentistry, Pllc 10450 E Riggs Rd Suite #118 Sun Lakes AZ 85248-7758 Ph: (480) 895-0801 | Sun Lakes Periodontics & Implant Dentistry, Pllc 10450 E Riggs Rd Suite #118 Sun Lakes AZ 85248-7758 Ph: (480) 895-0801 |
| NPI Number | 1962642132 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962642132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6841 (Arizona) | Primary |
Sun Lakes Family Dentistry,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10440 E Riggs Rd, Suite206, Sun Lakes, AZ 85248 Phone: 480-895-1604 | |
Sun Lakes Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10325 E Riggs Rd Ste 109, Sun Lakes, AZ 85248 Phone: 480-883-8000 |