CANYON TRAILS FAMILY DENTAL, LLC

GOODYEAR, AZ
NPI1104282425
Entity TypeOrganization
Authorized ContactJOHN E BALLARD
CFO, CIO
480-889-9457
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2016-01-04
Last Update Date2016-01-04
Business Address
CANYON TRAILS FAMILY DENTAL, LLC
500 N ESTRELLA PKWY SUITE B-1
GOODYEAR, AZ 85338-4135
Phone number: 623-882-0782
Mailing Address
CANYON TRAILS FAMILY DENTAL, LLC
4435 E HOLMES AVE SUITE #200
MESA, AZ 85206-3372
Phone number: 480-889-9457
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