# EAST VALLEY ORAL SURGERY,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205995719
- **Authorized official:** DR. ERIC R ENGEL DDS,MD (OWNER)
- **Authorized official phone:** (480) 812-8200

## Contact information

- **Practice address:** 3800 W RAY RD STE 14, CHANDLER, AZ 85226-5940
- **Practice address phone:** (480) 812-8200
- **Practice address fax:** (480) 812-8522
- **Mailing address:** 3800 W RAY RD STE 14, CHANDLER, AZ 85226-5940
- **Mailing address phone:** (480) 812-8200
- **Mailing address fax:** (480) 812-8522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D6044 | AZ | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/22/2020