Organization
CANYON VIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JR DETHORN (OWNER)
(801) 816-9366
Entity
Organization
Contact information
Practice address
1844 E 9400 S, SANDY, UT 84093-3000
(801) 816-9366
Mailing address
2680 E BRIDGEPORT AVE, COTTONWOOD HEIGHTS, UT 84121-5603
(801) 816-9366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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