| Sun Valley Pediatric Dentistry Gilbert | |
|
3592 S Atherton Blvd Suite 107 Gilbert AZ 85297-7443 | |
| (480) 889-1877 | |
| (480) 889-1876 |
| Full Name | Sun Valley Pediatric Dentistry Gilbert |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3592 S Atherton Blvd, Gilbert, Arizona |
| Authorized Official Name and Position | John E Ballard (CFO, CIO) |
| Authorized Official Contact | 4808899457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Pediatric Dentistry Gilbert 4435 E Holmes Ave Mesa AZ 85206-3372 Ph: (480) 889-9457 | Sun Valley Pediatric Dentistry Gilbert 3592 S Atherton Blvd Suite 107 Gilbert AZ 85297-7443 Ph: (480) 889-1877 |
| NPI Number | 1710359658 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710359658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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