Palm Valley Oral Surgery

LBN: Palm Valley Oral Surgery
Palm Valley Oral Surgery is an health care organization with primary practice located at 1646 N Litchfield Road Ste 130, Goodyear AZ 85338. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Palm Valley Oral Surgery can be contacted via phone (623) 935-5774, or through Blazic, Randall J via phone (623) 935-5774.

Contact Information

Primary practice address
1646 N Litchfield Road Ste 130 Goodyear AZ 85338
Phone: (623) 935-5774
Fax: (623) 935-6524
Website:
Map and Directions
Authorized official contact:
Name: Blazic, Randall J DDS MD
Phone: (623) 935-5774

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X M31657 Arizona

Profile Details

NPI number 1689886657
LBN Legal business name Palm Valley Oral Surgery
DBA Doing business as
Authorized official Blazic, Randall J DDS MD
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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