NPI | 1093939217 |
---|---|
Doing Business As | CANYON DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOEL SLAVEN Owner 661-257-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52560) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |