| NPI | 1336689140 |
|---|---|
| Doing Business As | SOUTHWEST ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | FAWNE ROGERS Practice Manager 623-792-5794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D8077) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D9133) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D3178) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |