| NPI | 1265146799 |
|---|---|
| Doing Business As | CANYON TRAILS FAMILY DENTAL- VERRADO |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Credentialing Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |