| NPI | 1619444833 |
|---|---|
| Doing Business As | WEST VALLEY ENDODONTICS AND ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RANDEE L JACKSON Office Manager 623-444-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-07-15 |