| NPI | 1659308641 |
|---|---|
| Doing Business As | VALLEY ENDODONTICS AND ORAL SURGERY |
| Doing Business As | VALLEY ENDODONTIC SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBORAH HENEBRY Credentialing Coordinator 602-734-4518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 4411) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-04-28 |