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Contact Information

DESERT PALM SURGICAL GROUP
7930 EAST THOMPSON PEAK PARKWAY
SUITE 101
SCOTTSDALE, AZ85255
 Phone: 480-947-7700
 Fax: 480-513-8788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for DESERT PALM SURGICAL GROUP · (Female)

NPI # 1609039114
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2008
Last updated 07/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 30196
  • AZ License # 5600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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