Canyon Vista Dentistry and Orthodontics,llp

NPI #1194048744 in Phoenix, Arizona

Provider Information

NPI Number
1194048744
Entity Type
Organization
Organization Name
Canyon Vista Dentistry and Orthodontics,llp
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 10, 2010
Last Updated
Mar 10, 2010

Practice Location

Address
25155 N 67TH AVE STE 142
State
Arizona
ZIP Code
85083-1065
Phone
(626) 561-6767

Authorized Official

Name
DR. TODD R COCKRELL, DMD
Title
OWNER DOCTOR
Phone
(626) 561-6767

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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