| Canyon Dental | |
|
2837 W Northern Ave Phoenix AZ 85051-6646 | |
| (602) 995-2419 | |
| Not Available |
| Full Name | Canyon Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2837 W Northern Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Julie Mcleod (CEO) |
| Authorized Official Contact | 5202906181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental 11550 E Irvington Rd Tucson AZ 85747-8925 Ph: () - | Canyon Dental 2837 W Northern Ave Phoenix AZ 85051-6646 Ph: (602) 995-2419 |
| NPI Number | 1447455670 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447455670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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