Phoenix Maxillofacial Trauma Associates, LLC
NPI #1114355575 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1114355575
- Entity Type
- Organization
- Organization Name
- Phoenix Maxillofacial Trauma Associates, LLC
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Oct 23, 2013
Practice Location
- Address
- 5410 N SCOTTSDALE RD
- Address 2
- SUITE B-110
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-5927
- Phone
- (480) 300-7152
Authorized Official
- Name
- NICOLAS PHILIPPE BEBEAU, MD, DDS
- Title
- OWNER
- Phone
- (480) 300-7152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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