| Oral Surgery Ltd | |
|
1277 E Missouri Ave #110 Phoenix AZ 85014-2915 | |
| (602) 248-8745 | |
| (602) 248-7939 |
| Full Name | Oral Surgery Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1277 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Lee Robert Raddatz (PRESIDENT) |
| Authorized Official Contact | 6022488745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Ltd 1277 E Missouri Ave #110 Phoenix AZ 85014-2915 Ph: (602) 248-8745 | Oral Surgery Ltd 1277 E Missouri Ave #110 Phoenix AZ 85014-2915 Ph: (602) 248-8745 |
| NPI Number | 1255421897 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255421897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1421 (Arizona) | Primary |
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