Southwest Orofacial Group, Inc. | |
4350 E Ray Rd Ste 103 Phoenix AZ 85044-4704 | |
(602) 992-1486 | |
Not Available |
Full Name | Southwest Orofacial Group, Inc. |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 4350 E Ray Rd Ste 103, Phoenix, Arizona |
Authorized Official Name and Position | Therese Garvey (OWNER) |
Authorized Official Contact | 2168707911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southwest Orofacial Group, Inc. 10214 N Tatum Blvd Ste A1100 Phoenix AZ 85028-4243 Ph: (602) 992-1486 | Southwest Orofacial Group, Inc. 4350 E Ray Rd Ste 103 Phoenix AZ 85044-4704 Ph: (602) 992-1486 |
NPI Number | 1245620459 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 04/28/2025 |
Medicare PECOS PAC ID | 4981786308 |
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Medicare Enrollment ID | O20150731016573 |
Identifier | Type | State | Issuer |
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1245620459 | NPI | - | NPPES |
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