Organization
CANYON CREEK FAMILY DENTISTRY PLANO, PLLC
Active
Parent organization
CANYON CREEK FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYON CREEK FAMILY DENTISTRY
Authorized official
AFSHIN AZMOODEH D.D.S. (PRESIDENT)
(972) 644-3800
Entity
Organization
Contact information
Practice address
7224 INDEPENDENCE PKWY, SUITE # 312, PLANO, TX 75025-5759
(972) 312-1718
Mailing address
7224 INDEPENDENCE PKWY, SUITE # 312, PLANO, TX 75025-5759
(972) 312-1718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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