Organization
SONOMA ORAL & FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A SPANGANBERG DDS (DDS/OWNER)
(480) 279-3113
Entity
Organization
Contact information
Practice address
7400 S POWER RD STE 136, GILBERT, AZ 85297-9284
(480) 279-3113
(480) 279-2741
Mailing address
7400 S POWER RD STE 136, GILBERT, AZ 85297-9284
(480) 279-3113
(480) 279-2741
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
7166
AZ
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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