| Canyon Dental Group | |
|
28237 Newhall Ranch Rd Valencia CA 91355-0986 | |
| (661) 257-4242 | |
| (661) 294-0020 |
| Full Name | Canyon Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 28237 Newhall Ranch Rd, Valencia, California |
| Authorized Official Name and Position | Farhad Manavi (OWNER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental Group 28237 Newhall Ranch Rd Valencia CA 91355-0986 Ph: (661) 257-4242 | Canyon Dental Group 28237 Newhall Ranch Rd Valencia CA 91355-0986 Ph: (661) 257-4242 |
| NPI Number | 1083912430 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083912430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38558 (California) | Primary |
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Canyon Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28237 Newhall Ranch Rd, Valencia, CA 91355 Phone: 661-257-4242 Fax: 661-294-0020 |