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
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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