NPI | 1457003071 |
---|---|
Doing Business As | GOLD CANYON DENTISTRY |
Entity Type | Organization |
Authorized Contact | CASSEY MOORE Office Lead 480-288-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |