Sandstone Oral Maxillofacial Surgery Pllc | |
20755 W Mcdowell Rd # 111 Buckeye AZ 85396-2070 | |
(623) 439-2222 | |
Not Available |
Full Name | Sandstone Oral Maxillofacial Surgery Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 20755 W Mcdowell Rd # 111, Buckeye, Arizona |
Authorized Official Name and Position | Brent H Bethers (OWNER) |
Authorized Official Contact | 6234392222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandstone Oral Maxillofacial Surgery Pllc 20755 W Mcdowell Rd # 111 Buckeye AZ 85396-2070 Ph: (623) 439-2222 | Sandstone Oral Maxillofacial Surgery Pllc 20755 W Mcdowell Rd # 111 Buckeye AZ 85396-2070 Ph: (623) 439-2222 |
NPI Number | 1497317275 |
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Provider Enumeration Date | 07/02/2019 |
Last Update Date | 07/02/2019 |
Identifier | Type | State | Issuer |
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1497317275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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