ARIZONA CENTER FOR IMPLANTS, FACIAL, AND ORAL SURGERY is an oral and maxillofacial surgery dentist in Glendale, AZ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ARIZONA CENTER FOR IMPLANTS, FACIAL, AND ORAL SURGERY NPI is 1063529394. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
18301 N 79TH AVE
SUITE G-185
GLENDALE, AZ
ZIP 85308-463
Phone: (623) 931-9197
Fax: (623) 937-4385
The provider's authorized official is Gary K Lines .
The authorized official title is Partner and has the following contact phone number (623) 931-9197.
The CLIA number assigned to this NPI record is 03D1084762 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.