| NPI | 1063922938 |
|---|---|
| Doing Business As | CANYON CREEK FAMILY & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN LA Owner 213-448-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |