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1518515212
CANYON VISTA DENTAL
SIERRA VISTA, AZ
NPI
1518515212
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Entity Type
Organization
Authorized Contact
MARVIN BLANE JACKSON
Dds/Owner
435-637-2100
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
CANYON VISTA DENTAL
1993 S FRONTAGE ROAD SUITE 208
SIERRA VISTA, AZ 85635
Phone number: 520-458-4646
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Mailing Address
CANYON VISTA DENTAL
230 N FAIRGROUND ROAD
PRICE, UT 84501
Phone number: 435-637-2100
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