| NPI | 1972963478 |
|---|---|
| Doing Business As | CANYON RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHARI HOWELL Office Manager 801-621-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 361602) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |