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Organization
CANYON LAKES DENTAL GROUP AND ORTHODONTICS, LLP
Active
Organization
CANYON LAKES DENTAL GROUP AND ORTHODONTICS, LLP
Active
Other names
Canyon Lakes Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J SEYMOUR DMD (OWNER)
(480) 964-1560
Entity
Organization
Contact information
Practice address
2025 N POWER RD, SUITE 101, MESA, AZ 85215-2913
(480) 964-1560
(480) 325-1229
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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