Organization · Type 2 NPI

Desert Ridge Oral,facial & Implant Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ

NPI number 1215363320 Active

Practice location

20950 N Tatum Blvd, Suite 120
Phoenix, AZ 85050-4200

Call (480) 563-3960 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD6337 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1215363320

Desert Ridge Oral,facial & Implant Surgery, PLLC's National Provider Identifier is 1215363320, issued on Sep 20, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 20, 2013.