| NPI | 1114712999 |
|---|---|
| Doing Business As | CANYON CREEK DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LINA CHIN Office Manager 503-649-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |