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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

Active Organization

SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC is a Oral & Maxillofacial Surgery (Physician) organization located in SAN TAN VALLEY, Arizona. NPI 1629546171 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · SAN TAN VALLEY, AZ

Registration Details

NPI Number
1629546171
Provider Type
Organization
NPI Issued
Nov 2, 2018 (7.8121825373035 yrs)
Last Updated
Nov 2, 2018

Practice Information

Address
36327 N GANTZEL RD
SUITE 102
SAN TAN VALLEY, AZ, 85140
Browse AZ providers · Browse ZIP 85140
Phone
4808149500
Fax
5202100442
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.