| NPI | 1922599240 |
|---|---|
| Doing Business As | CANYON DENTAL |
| Entity Type | Organization |
| Authorized Contact | GABRIEL DE LA VARA Dentist 626-369-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |