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Organization
YAVAPAI ORAL AND FACIAL SURGERY PLLC
Active
Organization
YAVAPAI ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY S DRESHER (VP BILLING)
(405) 848-7974
Entity
Organization
Contact information
Practice address
8101 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8454
(928) 775-2545
(928) 775-2535
Mailing address
PO BOX 258848, OKLAHOMA CITY, OK 73125-8848
(877) 667-7669
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D008900
AZ
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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