| Oral & Maxillofacial Surgery Of Phoenix | |
|
5410 N Scottsdale Rd Ste B100 Paradise Valley AZ 85253-5907 | |
| (480) 745-2430 | |
| Not Available |
| Full Name | Oral & Maxillofacial Surgery Of Phoenix |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5410 N Scottsdale Rd Ste B100, Paradise Valley, Arizona |
| Authorized Official Name and Position | Nicolas Bebeau (MANAGING MANAGER) |
| Authorized Official Contact | 4807452430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Of Phoenix 5410 N Scottsdale Rd Ste B100 Paradise Valley AZ 85253-5907 Ph: (480) 745-2430 | Oral & Maxillofacial Surgery Of Phoenix 5410 N Scottsdale Rd Ste B100 Paradise Valley AZ 85253-5907 Ph: (480) 745-2430 |
| NPI Number | 1922437920 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922437920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8403 (Arizona) | Primary |
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