West Valley Specialties Group
Dentist, Endodontics in Scottsdale, AZ. Organization (NPI-2).
NPI number1831882018
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1831882018
- Entity type
- Organization (NPI-2)
- Legal business name
- West Valley Specialties Group
- Organization subpart
- No
- Enumeration date
- Jun 1, 2023
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Other names
- Wild West Children'S Dentistry, West Valley Endodontics & (Doing Business As)
Practice location
7555 E Osborn RdScottsdale, AZ 85251
Phone 480-687-3951 · Fax 480-687-9616
Mailing address
14150 W McDowell RdGoodyear, AZ 85395
Phone 623-536-2040 · Fax 623-536-8555
Authorized official
George R Ayoub
President
6235362040
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