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Organization
OASIS ORAL AND FACIAL SURGERY PLLC
Active
Organization
OASIS ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED KENNEY DDS (OWNER)
(520) 231-6700
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 114, MARICOPA, AZ 85139-8964
(520) 231-6700
(520) 208-9066
Mailing address
21300 N. JOHN WAYNE PKWY STE.#114, MARICOPA, AZ 85139-7834
(520) 231-6700
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
12/28/2024
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