Canyon Trails Dental Care, PC

NPI #1043356058 in Goodyear, Arizona

Provider Information

NPI Number: 1043356058
Entity Type: Organization
Organization Name: Canyon Trails Dental Care, PC
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 500 N ESTRELLA PKWY
Address 2: SUITE B1
City: Goodyear
State: Arizona
ZIP Code: 85338-4135
Phone: (623) 882-0782

Authorized Official

Name: MARK DELWYN WHEELER, DMD
Title: OWNER DENTIST
Phone: (623) 882-0782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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