Organization
ANTHEM CENTER FOR ORAL FACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J DORFMAN DMD, MD (OWNER)
(623) 551-6556
Entity
Organization
Contact information
Practice address
42104 N VENTURE DR STE A106, ANTHEM, AZ 85086-3824
(623) 551-6556
(623) 551-6557
Mailing address
42104 N VENTURE DR STE A106, ANTHEM, AZ 85086-3824
(623) 551-6556
(623) 551-6557
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6337
AZ
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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