| West Valley Endodontics And Oral Surgery | |
|
14122 W. Mcdowell Rd. 201 Goodyear AZ 85395 | |
| (623) 444-4521 | |
| (623) 444-8304 |
| Full Name | West Valley Endodontics And Oral Surgery |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 14122 W. Mcdowell Rd., Goodyear, Arizona |
| Authorized Official Name and Position | Mary H Ruiz (REGIONAL MANAGER) |
| Authorized Official Contact | 6024181597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Endodontics And Oral Surgery 14122 W Mcdowell Rd 201 Goodyear AZ 85395-2503 Ph: (623) 444-4521 | West Valley Endodontics And Oral Surgery 14122 W. Mcdowell Rd. 201 Goodyear AZ 85395 Ph: (623) 444-4521 |
| NPI Number | 1295281525 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295281525 | NPI | - | NPPES |
| 5694444 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D5215 (Arizona) | Primary |
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