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Canyon Modern Dentistry & Orthodontics
Dental Clinic/Center in Surprise, Arizona
NPI 1366848897

Canyon Modern Dentistry & Orthodontics is a Dental Clinic/Center based in Surprise, AZ and is specialized in Dental. Canyon Modern Dentistry & Orthodontics practices in Surprise, AZ. The NPI Number for Canyon Modern Dentistry & Orthodontics is 1366848897 and holds a License No. D009075 (Arizona).

The current practice location address for Canyon Modern Dentistry & Orthodontics is 17081 W Greenway Rd, Surprise, AZ and can be reached out via phone at 623-546-8400 and via fax at 623-214-5830.

Location: 17081 W Greenway Rd, Surprise, AZ, 85388-9612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366848897
Provider Name
Canyon Modern Dentistry & Orthodontics
Credential
Provider Entity Type
Organization
Address
17081 W Greenway Rd, Surprise, AZ, 85388-9612
Phone Number
623-546-8400
Fax Number
623-214-5830
Provider Enumeration Date
11/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17081 W Greenway Rd
City
Surprise
State
Arizona
Zip
85388-9612
Phone Number
623-546-8400
Fax Number
623-214-5830
person
Provider Business Mailing Address Details
Address
17081 W Greenway Rd
City
Surprise
State
Arizona
Zip
85388-9612
Phone Number
623-546-8400
Fax Number
623-214-5830
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D009075 (Arizona)
Definition
Definition to come...
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