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Organization
SUNRISE MOUNTAIN ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization
SUNRISE MOUNTAIN ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BECKER DDS (ORAL AND MAXILLOFACIAL SURGEON)
(602) 831-2115
Entity
Organization
Contact information
Practice address
20165 N 67TH AVE STE A102, GLENDALE, AZ 85308-7002
(602) 831-2115
Mailing address
17620 N 42ND LN, GLENDALE, AZ 85308-2928
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
09/13/2023
Last updated
10/03/2023
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