| NPI | 1528530284 |
|---|---|
| Former Legal Business Name | ARIZONA MAXILLOFACIAL SURGEONS PC |
| Entity Type | Organization |
| Authorized Contact | JILIAN PORTER Credentialing Coordinator 480-830-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2021-07-30 |