| NPI | 1124755566 |
|---|---|
| Doing Business As | CANYON GATE COSMETIC & FAMILY DENTISTRY |
| Doing Business As | LINDER ROAD FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELODY BENNION Director Of Integrations 480-234-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-05-12 |