Organization
PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS PHILIPPE BEBEAU MD, DDS (OWNER)
(480) 300-7152
Entity
Organization
Contact information
Practice address
5410 N SCOTTSDALE RD, SUITE B-110, PARADISE VALLEY, AZ 85253-5927
(480) 300-7152
(480) 725-0228
Mailing address
5410 N SCOTTSDALE RD, SUITE B-110, PARADISE VALLEY, AZ 85253-5927
(480) 300-7152
(480) 725-0228
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
47593
AZ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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