Organization
AMERICAN CANYON ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA MARKERT RDA (OFFICE MANAGER)
(707) 651-9244
Entity
Organization
Contact information
Practice address
3419 BROADWAY ST, STE-H1, AMERICAN CANYON, CA 94503-1261
(707) 651-9244
Mailing address
3419 BROADWAY ST, STE-H1, AMERICAN CANYON, CA 94503-1261
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60422
CA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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