Affiliated Oral & Maxillofacial Surgeons Pc | |
5750 W Thunderbird H-850 Glendale AZ 85306 | |
(602) 938-0880 | |
(602) 547-0528 |
Full Name | Affiliated Oral & Maxillofacial Surgeons Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5750 W Thunderbird, Glendale, Arizona |
Authorized Official Name and Position | Charles G Bode (ORAL SURGEON) |
Authorized Official Contact | 6029380880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affiliated Oral & Maxillofacial Surgeons Pc 5750 W Thunderbird H-850 Glendale AZ 85306 Ph: (602) 938-0880 | Affiliated Oral & Maxillofacial Surgeons Pc 5750 W Thunderbird H-850 Glendale AZ 85306 Ph: (602) 938-0880 |
NPI Number | 1013023928 |
---|---|
Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013023928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2579 (Arizona) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5950 (Arizona) | Primary |
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