# A. W. RAY DDS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon State Oral and Dental Implant Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932674108
- **Authorized official:** DR. ANDREW RAY DDS, MD (ORAL SURGEON)
- **Authorized official phone:** (480) 899-8893

## Contact information

- **Practice address:** 928 W CHANDLER BLVD STE D-2, CHANDLER, AZ 85225-4900
- **Practice address phone:** (480) 899-8893
- **Mailing address:** 928 W CHANDLER BLVD STE D-2, CHANDLER, AZ 85225-4900
- **Mailing address phone:** (480) 899-8893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018