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Canyon Dental Inc.

NPI 1922599240ActiveOrganization· Dentist, General Practice· Hacienda Heights, CA

Dentist, General Practice in Hacienda Heights, California, registered in NPPES in May 2018. The authorized official on file is Gabriel De La Vara, Dentist.

Overview

NPI1922599240
StatusActive
Entity typeOrganization
NPI issuedMay 22, 2018
Last updated in NPPESMay 22, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Hacienda Heights

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