Healthcare Provider Details

I. General information

NPI: 1477326429
Provider Name (Legal Business Name): SAIZ DESERT WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W THUNDERBIRD RD
GLENDALE AZ
85306-4622
US

IV. Provider business mailing address

19025 N 99TH ST
SCOTTSDALE AZ
85255-6258
US

V. Phone/Fax

Practice location:
  • Phone: 702-204-0725
  • Fax:
Mailing address:
  • Phone: 702-204-0725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC EDWARD SAIZ
Title or Position: MANAGER
Credential: DMD
Phone: 702-204-0725