| 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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