Organization
RED CANYON DENTISTRY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS M OSWALD DDS (OWNER)
(480) 279-6010
Entity
Organization
Contact information
Practice address
1534 E RAY RD STE 115, GILBERT, AZ 85296-4430
(480) 279-6010
Mailing address
1534 E RAY RD STE 115, GILBERT, AZ 85296-4430
(480) 279-6010
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D5661
AZ
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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