Canyon Trails Dental Care, Pc

NPI 1043356058 - Dentist - 122300000X

NPI Details
NPI 1043356058
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK DELWYN MARK
Position OWNER DENTIST
Phone (623) 882-0782
Fax
Practice Location
500 N ESTRELLA PKWY
SUITE B1
GOODYEAR AZ, 85338-4135, US
Phone (623) 882-0782
Fax
Business Location
500 N ESTRELLA PKWY
SUITE B1
GOODYEAR AZ, 85338-4135, US
Phone (623) 882-0782
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 5594
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According to our database, Canyon Trails Dental Care, Pc NPI is 1043356058, taxonomy code is 122300000X and license number is 5594, license state is located at Arizona. Canyon Trails Dental Care, Pc physically located at 500 N Estrella Pkwy, Goodyear AZ, 85338-4135. NPI Number 1033115704 has the healthcare provider type.

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1043356058 NPI number is provided on an as is basis without warranty of any kind. 1043356058 is maintained by the National Plan & Provider Enumeration System. The contents of Canyon Trails Dental Care, Pc are for informational purposes only.