# ALPHA CANYON ENDODONTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Canyon Endodontics, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740313394
- **Authorized official:** DR. HUNG QUOC NGUYEN DDS (ENDODONTIST)
- **Authorized official phone:** (480) 558-1988

## Contact information

- **Practice address:** 875 N GREENFIELD RD, SUITE 111, GILBERT, AZ 85234-5044
- **Practice address phone:** (480) 558-1988
- **Practice address fax:** (480) 558-9188
- **Mailing address:** 875 N GREENFIELD RD, SUITE 111, GILBERT, AZ 85234-5044
- **Mailing address phone:** (480) 558-1988
- **Mailing address fax:** (480) 558-9188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 4917 | AZ | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020