| NPI | 1699505313 |
|---|---|
| Doing Business As | DENTISTRY BY CANYON CREEK |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DONNELLI Doctor Owner 214-734-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |