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Organization

A. W. RAY DDS MD LLC

Active
Other names
Canyon State Oral and Dental Implant Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW RAY DDS, MD (ORAL SURGEON)
(480) 899-8893
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9409
ARIZONA STATE DENTAL BOARD
AZ
Enumeration date
10/03/2018
Last updated
10/03/2018
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