Arrowhead Oral & Maxillofacial Surgery
Dentist, Oral and Maxillofacial Pathology in Glendale, AZ. Organization (NPI-2).
NPI number1023166360
StatusActive
Last updated in NPPESSep 20, 2007
Details
- NPI
- 1023166360
- Entity type
- Organization (NPI-2)
- Legal business name
- Arrowhead Oral & Maxillofacial Surgery
- Organization subpart
- No
- Enumeration date
- Jan 5, 2007
- Last updated
- Sep 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0106X | Dentist, Oral and Maxillofacial Pathology | D5314 | AZ | Yes |
Practice location
18555 N 79th Ave#a103
Glendale, AZ 85308-8370
Phone 623-412-0310 · Fax 623-412-2188
Mailing address
18555 N 79th Ave#a103
Glendale, AZ 85308-8370
Phone 623-412-0310 · Fax 623-412-2188
Authorized official
Michael G Allard
President
6234120310
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