Organization
AZ MAX SURGEONS PLC
Active
Other names
Arizona Maxillofacial Surgeons PC
Organization subpart
No
Provider details
NPI number
Authorized official
JILIAN PORTER (CREDENTIALING COORDINATOR)
(480) 830-5866
Entity
Organization
Contact information
Practice address
6755 E SUPERSTITION SPRINGS BLVD STE 103, MESA, AZ 85206-4375
(480) 830-5866
(480) 807-0606
Mailing address
6755 E SUPERSTITION SPRINGS BLVD STE 103, MESA, AZ 85206-4375
(480) 830-5866
(480) 807-0606
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
07/30/2021
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