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Organization
WEST VALLEY SPECIALTIES GROUP
Active
Organization
WEST VALLEY SPECIALTIES GROUP
Active
Other names
Wild West Children's Dentistry, West Valley Endodontics &
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R AYOUB DDS (PRESIDENT)
(623) 536-2040
Entity
Organization
Contact information
Practice address
7555 E OSBORN RD, SCOTTSDALE, AZ 85251
(480) 687-3951
(480) 687-9616
Mailing address
14150 W MCDOWELL RD, GOODYEAR, AZ 85395
(623) 536-2040
(623) 536-8555
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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