| Southwest Orofacial Group, Inc. | |
|
2034 E Southern Ave Ste E&f Tempe AZ 85282-7522 | |
| (602) 992-1486 | |
| Not Available |
| Full Name | Southwest Orofacial Group, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2034 E Southern Ave Ste E&f, Tempe, Arizona |
| Authorized Official Name and Position | Therese Garvey (OWNER) |
| Authorized Official Contact | 2168707911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Orofacial Group, Inc. 2034 E Southern Ave Ste E & F Tempe AZ 85282-7522 Ph: (602) 992-1486 | Southwest Orofacial Group, Inc. 2034 E Southern Ave Ste E&f Tempe AZ 85282-7522 Ph: (602) 992-1486 |
| NPI Number | 1245620459 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 4981786308 |
|---|---|
| Medicare Enrollment ID | O20150731016573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245620459 | NPI | - | NPPES |
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