Canyon Modern Dentistry Dental Clinic

Get detailed information about Canyon Modern Dentistry dental clinic in Irvine California.
Canyon Modern Dentistry (CANYON MODERN DENTISTRY, LLP) is a Dental Clinic - General Practice in Surprise, Arizona. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Canyon Modern Dentistry is 1194021170.

The current location address for Canyon Modern Dentistry is 17081 W Greenway Rd Ste 121, , Surprise, Arizona and the contact number is 623-546-8400 and fax number is 623-214-5830. The mailing address for Canyon Modern Dentistry is 2860 Michelle Drive 2nd Floor, , Irvine, California - 92606 (mailing address contact number - 714-368-2077).


Provider Profile Details:
Clinic NameCanyon Modern Dentistry
Provider OrganizationCANYON MODERN DENTISTRY, LLP
Address17081 W Greenway Rd Ste 121, ,
Surprise
Arizona, 85388-9612
Phone Number623-546-8400
Fax Number623-214-5830
Authorized Official NameDr. James B Mallory Jr.
Authorized Official Title/PositionOwner Doctor
Authorized Official Contact Number623-546-8400
NPI Number Details:
NPI Number1194021170
Provider Enumeration Date02/08/2011
Last Update Date05/04/2021
Provider Business Mailing Address Details:
Address2860 Michelle Drive 2nd Floor,
CityIrvine
StateCalifornia
Zip92606
Phone Number714-368-2077
Fax Number714-368-2092
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist - General Practice
Taxonomy1223G0001X

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