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Organization
A. W. RAY DDS MD LLC
Active
Organization
A. W. RAY DDS MD LLC
Active
Other names
Canyon State Oral and Dental Implant Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW RAY DDS, MD (ORAL SURGEON)
(480) 899-8893
Entity
Organization
Contact information
Practice address
928 W CHANDLER BLVD STE D-2, CHANDLER, AZ 85225-4900
(480) 899-8893
Mailing address
928 W CHANDLER BLVD STE D-2, CHANDLER, AZ 85225-4900
(480) 899-8893
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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