Organization
SANDSTONE ORAL MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT H BETHERS DDS (OWNER)
(623) 439-2222
Entity
Organization
Contact information
Practice address
20755 W MCDOWELL RD # 111, BUCKEYE, AZ 85396-2070
(623) 439-2222
Mailing address
20755 W MCDOWELL RD # 111, BUCKEYE, AZ 85396-2070
(623) 439-2222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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