| Sweet Peadiatric Dentistry, Pllc | |
|
15990 S Rancho Sahuarita Blvd Ste 110 Sahuarita AZ 85629-8022 | |
| (253) 988-2828 | |
| Not Available |
| Full Name | Sweet Peadiatric Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15990 S Rancho Sahuarita Blvd Ste 110, Sahuarita, Arizona |
| Authorized Official Name and Position | Nikki Dejbod (DENTIST/OWNER) |
| Authorized Official Contact | 2539882828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Peadiatric Dentistry, Pllc 1505 W Saint Marys Rd # 178 Tucson AZ 85745-3107 Ph: (253) 988-2828 | Sweet Peadiatric Dentistry, Pllc 15990 S Rancho Sahuarita Blvd Ste 110 Sahuarita AZ 85629-8022 Ph: (253) 988-2828 |
| NPI Number | 1366817967 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366817967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9171 (Arizona) | Primary |
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Coppermine Rancho Sahuarita Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15920 S Rancho Sahuarita Blvd Ste 100, Sahuarita, AZ 85629 Phone: 520-838-0600 Fax: 520-838-0865 |