West Valley Endodontics and Oral Surgery Pllc

NPI #1619444833 in Goodyear, Arizona

Provider Information

NPI Number: 1619444833
Entity Type: Organization
Organization Name: West Valley Endodontics and Oral Surgery Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2018
Last Updated: Jul 15, 2020

Practice Location

Address: 14122 W MCDOWELL RD STE 201
City: Goodyear
State: Arizona
ZIP Code: 85395-2505
Phone: (623) 444-4521

Authorized Official

Name: MRS. RANDEE L JACKSON
Title: OFFICE MANAGER
Phone: (623) 444-4521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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