| NPI | 1740313394 |
|---|---|
| Former Legal Business Name | ADVANCED CANYON ENDODONTICS, PC |
| Entity Type | Organization |
| Authorized Contact | HUNG QUOC NGUYEN Endodontist 480-558-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 4917) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |