| NPI | 1417085242 |
|---|---|
| Doing Business As | CANYON CREEK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KINNARI PRAJAPATI President 254-771-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20617) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |