Organization Name: | SK DENTAL LLC |
NPI Number: | 1033520671 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SABRINA DHANJAL (OWNER) |
Mailing Address: | 15288 W Brookside Ln Building D Suite 131 Surprise |
State: | AZ US |
Postal Code: | 853743990 |
Phone Number: | 6232514346 |
Fax Number: | 6232514767 |
NPI Enumeration Date: | 05/16/2014 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | D06987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |