MEDICARE: DR. ERIC EDWARD SAIZ D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D009959	AZ

General Provider Information

NPI Number	:	1134567381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC EDWARD SAIZ D.M.D.

Provider Business Mailing Address
First Line	:	445 S ETON ST
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6524
Country	:	US
Telephone Number	:	702-204-0725
Fax Number	:

Provider Business Practice Location Address
First Line	:	6677 W THUNDERBIRD RD STE H120
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-3726
Country	:	US
Telephone Number	:	623-792-5794
Fax Number	:	623-792-5809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	04/19/2018

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