| NPI | 1649361478 |
|---|---|
| Doing Business As | CANYON COUNTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TERRI T NGUYEN Owner Dds 661-251-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43213) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 51361) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 37440) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |