Canyon View Dental

NPI #1821425406 in Sandy, Utah

Provider Information

NPI Number: 1821425406
Entity Type: Organization
Organization Name: Canyon View Dental
Primary Specialty: Dentist
Enumeration Date: Sep 27, 2013
Last Updated: Sep 27, 2013

Practice Location

Address: 1844 E 9400 S
City: Sandy
State: Utah
ZIP Code: 84093-3000
Phone: (801) 816-9366

Authorized Official

Name: MR. JR DETHORN
Title: OWNER
Phone: (801) 816-9366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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