| NPI | 1831916154 |
|---|---|
| Doing Business As | LOST CANYON FAMILY DENTAL |
| Doing Business As | SOLEDAD CANYON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLAYTON R CLARK Owner 661-250-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-11-14 |