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Organization
JACK A BUHROW DDS MS PC
Active
Organization
JACK A BUHROW DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE M BUHROW RN (PRACTICE ADMINISTRATOR)
(602) 957-0332
Entity
Organization
Contact information
Practice address
4202 N 32ND ST, SUITE A, PHOENIX, AZ 85018-4746
(602) 957-0332
(602) 957-3282
Mailing address
4202 N 32ND ST, SUITE A, PHOENIX, AZ 85018-4746
(602) 957-0332
(602) 957-3282
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1939
AZ
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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