| NPI | 1083912430 |
|---|---|
| Doing Business As | CANYON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FARHAD MANAVI Owner 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38558) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-06-27 |