SOUTHWEST CENTER FOR ORAL, FACIAL AND DENTAL IMPLANT SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1760755730- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6677 W THUNDERBIRD RD SUITE H120, GLENDALE, AZ, 853063709
- Phone
- (623) 792-5794
- Fax
- (623) 792-5809
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: AZ #D3178
Dentist, Oral and Maxillofacial Surgery
Primary License: AZ #D8077