Organization
DESERT RIDGE ORAL,FACIAL & IMPLANT SURGERY, PLLC
Active
Organization
DESERT RIDGE ORAL,FACIAL & IMPLANT SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DORFMAN DMD, MD (OWNER)
(480) 563-3960
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, SUITE 120, PHOENIX, AZ 85050-4200
(480) 563-3960
Mailing address
20950 N TATUM BLVD, SUITE 120, PHOENIX, AZ 85050-4200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6337
AZ
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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