NPI | 1144002502 |
---|---|
Doing Business As | ORAL & FACIAL SURGEONS OF ARIZONA |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA ROCHA Sr Credentialing Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-10-19 |