| Anthem Center For Oral Facial Surgery Pc | |
|
42104 N Venture Dr Ste A106 Anthem AZ 85086-3824 | |
| (623) 551-6556 | |
| (623) 551-6557 |
| Full Name | Anthem Center For Oral Facial Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 42104 N Venture Dr Ste A106, Anthem, Arizona |
| Authorized Official Name and Position | Brian J Dorfman (OWNER) |
| Authorized Official Contact | 6235516556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthem Center For Oral Facial Surgery Pc 42104 N Venture Dr Ste A106 Anthem AZ 85086-3824 Ph: (623) 551-6556 | Anthem Center For Oral Facial Surgery Pc 42104 N Venture Dr Ste A106 Anthem AZ 85086-3824 Ph: (623) 551-6556 |
| NPI Number | 1396000394 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396000394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D6337 (Arizona) | Primary |
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