ORAL AND MAXILLOFACIAL ASSOCIATES OF ARIZONA
Ambulatory Health at Brown Rd, Mesa, AZ

License number
Arizona 7957
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. EDWARD HUGH CHRISTENSEN D.D.S.
Title: ORAL AND MAXILLOFACIAL SURGERY
Phone: (480) 659-5977
Address
Address
2855 E Brown Rd SUITE 15, Mesa, AZ 85213
National Provider ID: 1235440504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORAL AND MAXILLOFACIAL ASSOCIATES OF ARIZONA, PLC

2855 E Brown Rd STE 15, Mesa, AZ 85213

Industry:
Dentist's Office
Doing business as:
Oral and Maxillofacial Associates of Arizona
Registration:
Jun 30, 2010
State ID:
P-1612245-9
Expiration:
PERPETUAL
Manager, Family And General Dentistry, Oral And Maxillofacial Surgery, Principals:
Jillian Christensen (Manager), 2855 E Brown Rd STE 15, Mesa, AZ 85213 (Physical),Edward Hugh Christensen (Manager, Family And General Dentistry, Oral And Maxillofacial Surgery, Principal), 2855 E Brown Rd STE 15, Mesa, AZ 85213 (Physical)
Agent:
Edward H Christensen,2855 E Brown Rd STE 15, Mesa, AZ 85213 (Physical)

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