Organization
ARROWHEAD ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G ALLARD DDS.MD. (PRESIDENT)
(623) 412-0310
Entity
Organization
Contact information
Practice address
18555 N 79TH AVE, #A103, GLENDALE, AZ 85308-8370
(623) 412-0310
(623) 412-2188
Mailing address
18555 N 79TH AVE, #A103, GLENDALE, AZ 85308-8370
(623) 412-0310
(623) 412-2188
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D5314
AZ
Other
Enumeration date
01/05/2007
Last updated
09/20/2007
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