| 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 |