NPI 1225274913

A & N Sunvalley Dental Center, INC.

Organisation Exclusive Provider Organization Tempe, AZ

Practice location

Address: 960 W University Dr STE. #115, Tempe, AZ 85281-7808
Phone: (480) 921-3811
Fax: (480) 921-3830

Authorised official

Name: Mandana Kheshtchin
Title: Dentist
Phone: (480) 921-3811

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence D5191 (AZ)

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Registry record

NPI: 1225274913
Entity type: Organization
NPI issued: 30 Dec 2008
Record last updated: 30 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.