| Lines Orofacial Specialists Plc | |
|
2415 S Rural Rd #b Tempe AZ 85282-2440 | |
| (480) 968-3848 | |
| (480) 967-8669 |
| Full Name | Lines Orofacial Specialists Plc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2415 S Rural Rd, Tempe, Arizona |
| Authorized Official Name and Position | Paul A. Lines (PRESIDENT) |
| Authorized Official Contact | 4809683848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lines Orofacial Specialists Plc 2415 S Rural Rd #b Tempe AZ 85282-2440 Ph: (480) 968-3848 | Lines Orofacial Specialists Plc 2415 S Rural Rd #b Tempe AZ 85282-2440 Ph: (480) 968-3848 |
| NPI Number | 1831217132 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831217132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | AZ1556 AND AZ2288 (Arizona) | Primary |
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