# WEST VALLEY ENDODONTICS AND ORAL SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Valley Endodontics and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295281525
- **Authorized official:** MRS. MARY H RUIZ (REGIONAL MANAGER)
- **Authorized official phone:** (602) 418-1597

## Contact information

- **Practice address:** 14122 W. MCDOWELL RD., 201, GOODYEAR, AZ 85395
- **Practice address phone:** (623) 444-4521
- **Practice address fax:** (623) 444-8304
- **Mailing address:** 14122 W MCDOWELL RD, 201, GOODYEAR, AZ 85395-2503
- **Mailing address phone:** (623) 444-4521
- **Mailing address fax:** (623) 444-8304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D5215 | AZ | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5694444 | — | AZ |