Organization
CANYON HILLS FAMILY DENTISTRY LLC
Active
Other names
Canyon Hills Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KI NGO DMD (PRESIDENT OWNER)
(480) 917-0181
Entity
Organization
Contact information
Practice address
602 W UNION HILLS DR, SUITE #8, PHOENIX, AZ 85027-6629
(623) 516-7766
(623) 516-7788
Mailing address
602 W UNION HILLS DR, SUITE #8, PHOENIX, AZ 85027-6629
(623) 516-7766
(623) 516-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1778674
UCCI
AZ
Enumeration date
05/17/2007
Last updated
08/22/2020
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