Organization
SCHNEIDER ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN REX SCHNEIDER DDS, MD (OWNER)
(602) 996-2225
Entity
Organization
Contact information
Practice address
11030 N TATUM BLVD, F 100, PHOENIX, AZ 85028-6073
(602) 996-2225
(602) 996-8048
Mailing address
11030 N TATUM BLVD, F 100, PHOENIX, AZ 85028-6073
(602) 996-2225
(602) 996-8048
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
7629
AZ
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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