# DESERT VALLEY ORAL SURGERY

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

## Provider details

- **NPI number:** 1881189199
- **Authorized official:** DR. DONOVAN R. HANSEN D.D.S. (OWNER)
- **Authorized official phone:** (480) 539-6420

## Contact information

- **Practice address:** 2915 E. BASELINE ROAD, SUITE 106, GILBERT, AZ 85234
- **Practice address phone:** (480) 539-6420
- **Practice address fax:** (480) 663-6370
- **Mailing address:** 2915 E. BASELINE ROAD, SUITE 106, GILBERT, AZ 85234
- **Mailing address phone:** (480) 539-6420
- **Mailing address fax:** (480) 663-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D08601 | AZ | Yes |

## Other

- **Enumeration date:** 06/28/2018
- **Last updated:** 06/28/2018