# ARROWHEAD ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023166360
- **Authorized official:** DR. MICHAEL G ALLARD DDS.MD. (PRESIDENT)
- **Authorized official phone:** (623) 412-0310

## Contact information

- **Practice address:** 18555 N 79TH AVE, \#A103, GLENDALE, AZ 85308-8370
- **Practice address phone:** (623) 412-0310
- **Practice address fax:** (623) 412-2188
- **Mailing address:** 18555 N 79TH AVE, \#A103, GLENDALE, AZ 85308-8370
- **Mailing address phone:** (623) 412-0310
- **Mailing address fax:** (623) 412-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | D5314 | AZ | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 09/20/2007