NPI | 1356407779 |
---|---|
Doing Business As | SOUTHWEST JAW SURGEONS |
Entity Type | Organization |
Authorized Contact | DEREK H. LAMB Owner / Oral & Maxillofacial Surgeo 480-941-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 2202) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2012-12-04 |