# SUMMIT AESTHETICS LLC

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

## Provider details

- **NPI number:** 1962052035
- **Authorized official:** THOMAS WILLIAM KUERSCHNER DDS (OWNER/ORAL SURGEON)
- **Authorized official phone:** (480) 787-0701

## Contact information

- **Practice address:** 34209 N. SCOTTSDALE RD, SUITE 103, SCOTTSDALE, AZ 85266
- **Practice address phone:** (480) 787-0701
- **Practice address fax:** (480) 393-7439
- **Mailing address:** 34209 N. SCOTTSDALE RD, SUITE 103, SCOTTSDALE, AZ 85266
- **Mailing address phone:** (480) 787-0701
- **Mailing address fax:** (480) 393-7439

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019