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Organization
ARCADIA OMFS LLC
Active
Organization
ARCADIA OMFS LLC
Active
Other names
Oral & Facial Surgeons of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5050 N 40TH ST STE 180, PHOENIX, AZ 85018-9181
(602) 641-3207
(602) 957-3282
Mailing address
5050 N 40TH ST STE 180, PHOENIX, AZ 85018-9181
(602) 641-3207
(602) 957-3282
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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