| Southwest Orofacial Group, Inc. | |
|
20470 N Lake Pleasant Rd Ste 110 Peoria AZ 85382-9708 | |
| (602) 992-1486 | |
| (602) 992-6604 |
| Full Name | Southwest Orofacial Group, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 20470 N Lake Pleasant Rd Ste 110, Peoria, Arizona |
| Authorized Official Name and Position | Therese Garvey (OWNER) |
| Authorized Official Contact | 6029921486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Orofacial Group, Inc. 20470 N Lake Pleasant Rd Ste 110 Peoria AZ 85382-9708 Ph: (602) 992-1486 | Southwest Orofacial Group, Inc. 20470 N Lake Pleasant Rd Ste 110 Peoria AZ 85382-9708 Ph: (602) 992-1486 |
| NPI Number | 1891184297 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 4981786308 |
|---|---|
| Medicare Enrollment ID | O20150904000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891184297 | NPI | - | NPPES |
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