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NPI Provider: 1487651071
Contact Name: Peterson Dean Lorin
Position: President
Phone: (928) 773-2530
Oral And Maxillofacial Surgeons Of Northern Arizona Information:
Oral And Maxillofacial Surgeons Of Northern Arizona organization have npi 1487651071, taxonomy code is 1223P0106X with license number is 2803 in . This Business address located in 77 W Forest Ave, Flagstaff, AZ 86001 Arizona. Get directions of Oral And Maxillofacial Surgeons Of Northern Arizona.
Practice Location
Address: 77 W Forest Ave, Flagstaff, AZ 86001
Phone: (928) 773-2530
Business Location
Address: 77 W Forest Ave, Flagstaff, AZ 86001
Phone: (928) 773-2530
Fax: (928) 773-2532
Taxonomy
Taxonomy Code: 1223P0106X
License Number: 2803
License Number of State: AZ
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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