# ARIZONA ORAL FACIAL AND IMPLANT SURGERY LLC

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

## Provider details

- **NPI number:** 1982873311
- **Authorized official:** CECILIA RUEBUSH (ACCOUNTS MANAGER)
- **Authorized official phone:** (480) 814-9500

## Contact information

- **Practice address:** 2450 W RAY RD STE 1, CHANDLER, AZ 85224-3595
- **Practice address phone:** (480) 814-9500
- **Practice address fax:** (480) 814-9501
- **Mailing address:** 2450 W RAY RD STE 1, CHANDLER, AZ 85224-3595
- **Mailing address phone:** (480) 814-9500
- **Mailing address fax:** (480) 814-9501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 31035 | AZ | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 03/03/2008