Oral and Facial Surgery Center of Prescott

NPI #1275925265 in Prescott, Arizona

Provider Information

NPI Number
1275925265
Entity Type
Organization
Organization Name
Oral and Facial Surgery Center of Prescott
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 27, 2015
Last Updated
Jul 23, 2015

Practice Location

Address
5415 DISTICTION WAY
State
Arizona
ZIP Code
86301
Phone
(205) 470-0047

Authorized Official

Name
BENJAMIN ABT, DMD
Title
OWNER/PROVIDER
Phone
(205) 470-0047

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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