| Sunrise Mountain Oral And Maxillofacial Surgery Pllc | |
|
20165 N 67th Ave Ste A102 Glendale AZ 85308-7002 | |
| (602) 831-2115 | |
| Not Available |
| Full Name | Sunrise Mountain Oral And Maxillofacial Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 20165 N 67th Ave Ste A102, Glendale, Arizona |
| Authorized Official Name and Position | Erica Becker (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 6028312115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Mountain Oral And Maxillofacial Surgery Pllc 17620 N 42nd Ln Glendale AZ 85308-2928 Ph: () - | Sunrise Mountain Oral And Maxillofacial Surgery Pllc 20165 N 67th Ave Ste A102 Glendale AZ 85308-7002 Ph: (602) 831-2115 |
| NPI Number | 1447037304 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447037304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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