Organization
CANYON DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERKLEY HALL (OWNER)
(520) 323-2600
Entity
Organization
Contact information
Practice address
4001 E BROADWAY BLVD, TUCSON, AZ 85711-3454
(520) 323-2600
(520) 323-2800
Mailing address
4001 E BROADWAY BLVD, TUCSON, AZ 85711-3454
(520) 323-2600
(520) 323-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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