Organization
SCOTTSDALE FACIAL & ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI JIMENEZ (FINANCIAL COORDINATOR)
(480) 941-5005
Entity
Organization
Contact information
Practice address
3501 N SCOTTSDALE RD STE 226, SCOTTSDALE, AZ 85251-5630
(480) 941-5005
(480) 946-0268
Mailing address
3501 N SCOTTSDALE RD STE 226, SCOTTSDALE, AZ 85251-5630
(480) 941-5005
(480) 946-0268
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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