Oral And Facial Surgery Center Of Prescott

NPI 1275925265 - Dentist - 1223S0112X

NPI Details
NPI 1275925265
Enumeration Date 02/27/2015
Last Updated 07/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BENJAMIN BENJAMIN
Position OWNER/PROVIDER
Phone (205) 470-0047
Fax
Practice Location
5415 DISTICTION WAY
PRESCOTT AZ, 86301, US
Phone (205) 470-0047
Fax
Business Location
5415 DISTICTION WAY
PRESCOTT AZ, 86301, US
Phone
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Arizona
License Number 8911
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According to our database, Oral And Facial Surgery Center Of Prescott NPI is 1275925265, taxonomy code is 1223S0112X and license number is 8911, license state is located at Arizona. Oral And Facial Surgery Center Of Prescott physically located at 5415 Distiction Way, Prescott AZ, 86301. NPI Number 1033115704 has the healthcare provider type.

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1275925265 NPI number is provided on an as is basis without warranty of any kind. 1275925265 is maintained by the National Plan & Provider Enumeration System. The contents of Oral And Facial Surgery Center Of Prescott are for informational purposes only.