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Individual

DR. BRIAN J DORFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.D.

Contact information

Practice address
42104 N VENTURE DR, STE A106, ANTHEM, AZ 85086-3824
(623) 551-6556
(623) 551-6557
Mailing address
42104 N VENTURE DR, STE A106, ANTHEM, AZ 85086-3824
(623) 551-6556
(623) 551-6557

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6337
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
32232
AZ

Other

Enumeration date
06/14/2005
Last updated
04/19/2012
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