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Organization
WEST VALLEY ENDODONTICS AND ORAL SURGERY INC
Active
Organization
WEST VALLEY ENDODONTICS AND ORAL SURGERY INC
Active
Other names
West Valley Endodontics and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY H RUIZ (REGIONAL MANAGER)
(602) 418-1597
Entity
Organization
Contact information
Practice address
14122 W. MCDOWELL RD., 201, GOODYEAR, AZ 85395
(623) 444-4521
(623) 444-8304
Mailing address
14122 W MCDOWELL RD, 201, GOODYEAR, AZ 85395-2503
(623) 444-4521
(623) 444-8304
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5694444
—
AZ
Enumeration date
08/28/2016
Last updated
08/28/2016
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