| NPI | 1578392775 |
|---|---|
| Doing Business As | CANOPY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERICA A. OMOYENI Chief Clinical Officer 646-842-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |