NPI | 1851070015 |
---|---|
Doing Business As | ARIZONA ORAL & MAXILLOFACIAL SURGEONS (AZOS) |
Entity Type | Organization |
Authorized Contact | CHARLOTTE DASCH Director Of Credentialing &Pr 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-07-14 |
Last Update Date | 2023-07-14 |