| NPI | 1194048744 |
|---|---|
| Doing Business As | CANYON VISTA DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TODD R COCKRELL Owner Doctor 626-561-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |