Organization
WEST VALLEY ENDODONTICS AND ORAL SURGERY INC
Active
Other names
West Valley Endodontics and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY H RUIZ (REGIONAL MANAGER)
(602) 418-1597
Entity
Organization
Contact information
Practice address
14122 W. MCDOWELL RD., 201, GOODYEAR, AZ 85395
(623) 444-4521
(623) 444-8304
Mailing address
14122 W MCDOWELL RD, 201, GOODYEAR, AZ 85395-2503
(623) 444-4521
(623) 444-8304
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5694444
—
AZ
Enumeration date
08/28/2016
Last updated
08/28/2016
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