| NPI | 1487425617 |
|---|---|
| Doing Business As | NORTH CANYON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SERGIO SOUZA Dds 623-582-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |