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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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