Palm Valley Oral Surgery
Palm Valley Oral Surgery is an Oral & Maxillofacial Surgery (D.M.D.) in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
1646 N Litchfield Rd Ste 130Goodyear, AZ 85338
Phone: (623) 935-5774
Fax: (623) 935-6524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence M31657 (AZ) |
|---|
Record details
| NPI number | 1689886657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Blazic — Owner · (623) 935-5774 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1646 N Litchfield Road, Ste 130, Goodyear, AZ 85338 |
Other providers in Goodyear
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Randall J Blazic, DDSMD
13980 W Avalon Dr Ste 120, Goodyear, AZ 85395-1404 · (623) 935-5774