CANYON ROAD DENTAL PLLC

PROVO, UT
NPI1700450905
Doing Business AsCANYON ROAD DENTAL
Entity TypeOrganization
Authorized ContactFAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-05-13
Last Update Date2021-05-13
Business Address
CANYON ROAD DENTAL PLLC
3707 N CANYON RD STE 2A
PROVO, UT 84604-4525
Phone number: 801-997-6728
Mailing Address
CANYON ROAD DENTAL PLLC
3707 N CANYON RD STE 2A
PROVO, UT 84604-4525
Phone number: 801-997-6728