Individual
OSCAR JAIME RODRIGUEZ MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23350 N 163RD AVE # 100, SURPRISE, AZ 85387-0044
(602) 922-7380
Mailing address
24971 N 83RD AVE, PEORIA, AZ 85383-4383
(623) 323-9709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012853
AZ
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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