Oral and Maxillofacial Surgeons of Northern Arizona
Oral and Maxillofacial Surgeons of Northern Arizona is an Oral and Maxillofacial Pathology Dentistry in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2005.
- Licensed in
- AZ
- In the registry since
- 2005
Practice location Address checks out
77 W Forest Ave Ste 107Flagstaff, AZ 86001-1482
Phone: (928) 773-2530
Fax: (928) 773-2532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Pathology Dentistry (primary) | Taxonomy 1223P0106X · Licence 2803 (AZ) |
|---|
Record details
| NPI number | 1487651071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lorin Peterson — President · (928) 773-2530 |
| NPI enumerated | June 28, 2005 |
| Last updated in NPPES | October 16, 2007 |
| Mailing address | 77 W Forest Ave, Ste 107, Flagstaff, AZ 86001-1482 |
Other providers in Flagstaff
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Lorin Dean Peterson, DMD
77 W Forest Ave Ste 107, Flagstaff, AZ 86001-1482 · (928) 773-2530