| NPI | 1932674108 |
|---|---|
| Doing Business As | CANYON STATE ORAL AND DENTAL IMPLANT SURGERY |
| Entity Type | Organization |
| Authorized Contact | ANDREW RAY Oral Surgeon 480-899-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |