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Organization
ARIZONA ORAL FACIAL AND IMPLANT SURGERY LLC
Active
Organization
ARIZONA ORAL FACIAL AND IMPLANT SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA RUEBUSH (ACCOUNTS MANAGER)
(480) 814-9500
Entity
Organization
Contact information
Practice address
2450 W RAY RD STE 1, CHANDLER, AZ 85224-3595
(480) 814-9500
(480) 814-9501
Mailing address
2450 W RAY RD STE 1, CHANDLER, AZ 85224-3595
(480) 814-9500
(480) 814-9501
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
31035
AZ
Other
Enumeration date
02/29/2008
Last updated
03/03/2008
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