Organization
ANTHEM ORAL SURGERY & IMPLANT CENTER
Active
Organization
ANTHEM ORAL SURGERY & IMPLANT CENTER
Active
Parent organization
ANTHEM ORAL SURGERY & IMPLANT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTHEM ORAL SURGERY & IMPLANT CENTER
Authorized official
DR. BROWN HARRIS III (SURGEON)
(480) 575-0844
Entity
Organization
Contact information
Practice address
42104 N VENTURE DR, ANTHEM, AZ 85086-3823
(480) 575-0844
Mailing address
30012 N CAVE CREEK RD STE 103, CAVE CREEK, AZ 85331-5833
(480) 575-0844
(480) 575-0845
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5779
AZ
Other
Enumeration date
06/23/2017
Last updated
06/27/2017
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