Organization
OASIS ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED KENNEY DDS (OWNER)
(520) 231-6700
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 114, MARICOPA, AZ 85139-8964
(520) 231-6700
(520) 208-9066
Mailing address
21300 N. JOHN WAYNE PKWY STE.#114, MARICOPA, AZ 85139-7834
(520) 231-6700
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
12/28/2024
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