CANYON VISTA DENTAL

SIERRA VISTA, AZ
NPI1518515212
Entity TypeOrganization
Authorized ContactMARVIN BLANE JACKSON
Dds/Owner
435-637-2100
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
CANYON VISTA DENTAL
1993 S FRONTAGE ROAD SUITE 208
SIERRA VISTA, AZ 85635
Phone number: 520-458-4646
Mailing Address
CANYON VISTA DENTAL
230 N FAIRGROUND ROAD
PRICE, UT 84501
Phone number: 435-637-2100