Organization
EAST VALLEY ORAL SURGERY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R ENGEL DDS,MD (OWNER)
(480) 812-8200
Entity
Organization
Contact information
Practice address
3800 W RAY RD STE 14, CHANDLER, AZ 85226-5940
(480) 812-8200
(480) 812-8522
Mailing address
3800 W RAY RD STE 14, CHANDLER, AZ 85226-5940
(480) 812-8200
(480) 812-8522
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6044
AZ
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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