NPI | 1447623780 |
---|---|
Doing Business As | CANYON COUNTRY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANNA LIBERMAN Dentist/Owner 661-252-0020 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 33618) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2021-09-30 |