Organization
NORTHWEST VALLEY ORAL AND FACIAL SURGERY PC
Active
Organization
NORTHWEST VALLEY ORAL AND FACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY TAYLER HAMMOND D.D.S., M.D. (PRESIDENT)
(623) 583-1875
Entity
Organization
Contact information
Practice address
16936 W BELL RD STE 203, SURPRISE, AZ 85374-8949
(623) 583-1875
(623) 583-1969
Mailing address
16936 W BELL RD STE 203, SURPRISE, AZ 85374-8949
(623) 583-1875
(623) 583-1969
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
6938
AZ
Other
Enumeration date
08/21/2006
Last updated
03/14/2008
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