| NPI | 1740127638 |
|---|---|
| Doing Business As | GERONIMO CANYON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERTO A BENAVIDES Owner 210-512-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |