# WEST VALLEY SPECIALTIES GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wild West Children's Dentistry, West Valley Endodontics &
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831882018
- **Authorized official:** GEORGE R AYOUB DDS (PRESIDENT)
- **Authorized official phone:** (623) 536-2040

## Contact information

- **Practice address:** 7555 E OSBORN RD, SCOTTSDALE, AZ 85251
- **Practice address phone:** (480) 687-3951
- **Practice address fax:** (480) 687-9616
- **Mailing address:** 14150 W MCDOWELL RD, GOODYEAR, AZ 85395
- **Mailing address phone:** (623) 536-2040
- **Mailing address fax:** (623) 536-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |
| 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