| Facial And Oral Surgery Center Llc | |
|
1893 Ne Neff Rd Bend OR 97701-6112 | |
| (541) 382-7981 | |
| Not Available |
| Full Name | Facial And Oral Surgery Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1893 Ne Neff Rd, Bend, Oregon |
| Authorized Official Name and Position | Amir Azarisamani (PRESIDENT) |
| Authorized Official Contact | 9049933599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial And Oral Surgery Center Llc 1893 Ne Neff Rd Bend OR 97701-6112 Ph: (541) 382-7981 | Facial And Oral Surgery Center Llc 1893 Ne Neff Rd Bend OR 97701-6112 Ph: (541) 382-7981 |
| NPI Number | 1801483318 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801483318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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