| NPI | 1245631191 | 
|---|---|
| Doing Business As | CANYON CITY DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | PETER LUU President 626-334-7310 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55933) | 
| Enumeration Date | 2014-09-10 | 
| Last Update Date | 2014-09-10 |