Lookup NPI Numbers from the NPI Registry
NPI Profile for PEORIA ORAL IMPLANT SURGERY PLLC in PEORIA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI Number | 1497265516 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/03/2017 | |
| Last updated | 03/24/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PEORIA ORAL & IMPLANT SURGERY PLLC