Provider Demographics
NPI:1134567381
Name:SAIZ, ERIC EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:EDWARD
Last Name:SAIZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 S ETON ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6524
Mailing Address - Country:US
Mailing Address - Phone:702-204-0725
Mailing Address - Fax:
Practice Address - Street 1:6677 W THUNDERBIRD RD STE H120
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3726
Practice Address - Country:US
Practice Address - Phone:623-792-5794
Practice Address - Fax:623-792-5809
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0099591223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery