# HOSPITAL ORAL SURGICAL SERVICES, PLC

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

## Provider details

- **NPI number:** 1881872554
- **Authorized official:** DR. GARY K LINES DMD (PRESIDENT)
- **Authorized official phone:** (623) 931-9197

## Contact information

- **Practice address:** 18301 N 79TH AVE, SUITE G-185, GLENDALE, AZ 85308-8463
- **Practice address phone:** (623) 931-9197
- **Practice address fax:** (623) 937-4385
- **Mailing address:** 18301 N 79TH AVE, SUITE G-185, GLENDALE, AZ 85308-8463
- **Mailing address phone:** (623) 931-9197
- **Mailing address fax:** (623) 937-4385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3675 | AZ | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 02/05/2008