PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC
Medical Practice at Scottsdale Rd, Scottsdale, AZ

License number
Arizona 47593
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: NICOLAS PHILIPPE BEBEAU MD, DDS
Title: OWNER
Phone: (480) 300-7152
Address
Address
5410 N Scottsdale Rd SUITE B-110, Scottsdale, AZ 85253
National Provider ID: 1114355575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHOENIX MAXILLOFACIAL TRAUMA ASSOCIATES, LLC

5410 N Scottsdale Rd STE B110, Paradise Valley, AZ 85253

Registration:
Sep 4, 2013
State ID:
L-1871413-1
Expiration:
Perpetual
Member:
Nicolas Bebeau Md Dds (Member), 5410 N Scottsdale Rd STE B110, Paradise Valley, AZ 85253 (Physical)
Agent:
Charles J Morrow Esq,Galbut & Galbut Pc 2425 E Camelback Rd #1020, Phoenix, AZ 85016 (Physical)

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