| NPI | 1831882018 |
|---|---|
| Doing Business As | WILD WEST CHILDREN'S DENTISTRY, WEST VALLEY ENDODONTICS & |
| Entity Type | Organization |
| Authorized Contact | GEORGE R AYOUB President 623-536-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |