# OAK VALLEY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1952522443
- **Authorized official:** DR. HAI Q TRANG D.D.S. (OWNER DENTIST)
- **Authorized official phone:** (480) 888-8053

## Contact information

- **Practice address:** 22717 S ELLSWORTH RD \# B-102, QUEEN CREEK, AZ 85242-6119
- **Practice address phone:** (480) 888-8053
- **Practice address fax:** (480) 882-1042
- **Mailing address:** 22717 S ELLSWORTH RD \# B-102, QUEEN CREEK, AZ 85242-6119
- **Mailing address phone:** (480) 888-8053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6177 | AZ | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020