Organization
SUNRISE MOUNTAIN ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BECKER DDS (ORAL AND MAXILLOFACIAL SURGEON)
(602) 831-2115
Entity
Organization
Contact information
Practice address
20165 N 67TH AVE STE A102, GLENDALE, AZ 85308-7002
(602) 831-2115
Mailing address
17620 N 42ND LN, GLENDALE, AZ 85308-2928
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
10/03/2023
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