| Southwest Oral Surgery | |
|
4600 E Shea Blvd #201 Phoenix AZ 85028-6024 | |
| (623) 792-5794 | |
| (623) 792-5809 |
| Full Name | Southwest Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4600 E Shea Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Fawne Rogers (PRACTICE MANAGER) |
| Authorized Official Contact | 6237925794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Oral Surgery 6677 W Thunderbird Rd Ste H120 Glendale AZ 85306-3726 Ph: (623) 792-5794 | Southwest Oral Surgery 4600 E Shea Blvd #201 Phoenix AZ 85028-6024 Ph: (623) 792-5794 |
| NPI Number | 1336689140 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336689140 | NPI | - | NPPES |
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