# PHOENIX FACE, PLLC

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

## Provider details

- **NPI number:** 1487349411
- **Authorized official:** DR. TROY LAM DDS, MD (MEMBER)
- **Authorized official phone:** (315) 416-0678

## Contact information

- **Practice address:** 5757 W THUNDERBIRD RD STE W301, GLENDALE, AZ 85306-5606
- **Practice address phone:** (602) 938-3777
- **Mailing address:** PO BOX 73152, PHOENIX, AZ 85050-1036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2023
- **Last updated:** 04/06/2023