| NPI | 1386980589 |
|---|---|
| Other Name | CANYON DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHIKHA BANERJEE President 951-273-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2014-01-07 |