Organization
WEST VALLEY ENDODONTICS AND ORAL SURGERY PLLC
Active
Other names
West Valley Endodontics And Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDEE L JACKSON (OFFICE MANAGER)
(623) 444-4521
Entity
Organization
Contact information
Practice address
14122 W MCDOWELL RD STE 201, GOODYEAR, AZ 85395-2505
(623) 444-4521
(623) 444-8304
Mailing address
14122 W MCDOWELL RD STE 201, GOODYEAR, AZ 85395-2505
(623) 444-4521
(623) 444-8304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/25/2018
Last updated
07/15/2020
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