NPI | 1407398787 |
---|---|
Doing Business As | SOUTHWEST ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | FAWNE E ROGERS Practice Manager 623-792-5794 |
Organization Subpart ? | No |
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 | 2016-11-17 |
Last Update Date | 2016-11-17 |