Organization
HOSPITAL ORAL SURGICAL SERVICES, PLC
Active
Organization
HOSPITAL ORAL SURGICAL SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY K LINES DMD (PRESIDENT)
(623) 931-9197
Entity
Organization
Contact information
Practice address
18301 N 79TH AVE, SUITE G-185, GLENDALE, AZ 85308-8463
(623) 931-9197
(623) 937-4385
Mailing address
18301 N 79TH AVE, SUITE G-185, GLENDALE, AZ 85308-8463
(623) 931-9197
(623) 937-4385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3675
AZ
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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