| NPI | 1790349751 |
|---|---|
| Doing Business As | CANAM DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICKA SOTO Lead Provider Relations Specialist 312-274-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-01-28 |